Dear Dr. Man, I’m a 63 year old woman from Boca Raton. I’ve worn heavy earrings my entire life and now I’m paying for it. One of my earlobes is completely torn through and the other one is just about torn. Now I can’t wear earrings at all. Worse yet, everyone always asks me what is wrong with my ears. Can this be fixed? Can I wear earrings again one day?
The condition that you are experiencing is not uncommon; and there is surgery to help repair the damage to your ear lobes. Ear reconstruction can involve the entire ear or only a part - the lobe. Otoplasty is a general term for ear reshaping. Ear lobe reconstruction is much less involved than other forms of ear reshaping.
While earrings can add to a woman’s beauty, they can also add significant weight or trauma, causing the tissue in your earlobe to pull with enough pressure over time. A tear in the lobe or margin can leave a notch in an otherwise smooth, continuous edge. Large or heavy items will gradually elongate the hole and eventually tear through the lobe. This defect in one’s ear is usually very visible and difficult to cover up.
Most ear holes gradually enlarge over time- this is relatively normal for someone with pierced ears. The final tear is usually just through a tiny piece of tissue at the bottom of the lobe. If only the bottom is actually torn, immediate repair will not take care of the skin covered slot. However, if the tear starts from a tiny pierced hole, immediate repair is an option. Otherwise, reconstruction should be delayed until after the wound has healed and tissues are not inflamed.
Depending on the deformity, reconstruction can take different forms. In all methods, the skin lining the slot is removed, creating a raw edge to rebuild. Depending on the type of tear or the amount of damage in your ear, your plastic surgeon can use different techniques for surgery. When you meet with your board certified plastic surgeon, be sure to discuss the technique he or she plans to use for your surgery.
During most of these surgeries, local anesthetic is used to numb the earlobe. After surgery, most patients do not need anything stronger than an over-the-counter pain medication.
It is important to care for your earlobes after surgery. You should wash your wound with soap and water three times a day. Your doctor will prescribe you an antibiotic ointment that should be applied as well. You may experience some drainage from the wound after surgery. Sutures are usually removed by your surgeon within about seven days.
You should hold off wearing earrings for at least six weeks after surgery in order to give your earlobes time to heal properly. When you do resume wearing earrings, you should wear small, light earrings for at least two months after surgery. If your holes have been closed and you would like new holes pierced, I generally recommend waiting about six months after surgery.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Wednesday, June 9, 2010
Tuesday, June 8, 2010
Ask Dr. Man - Blepharoplasty
Dear Dr. Man, I just turned 60 years old and I am an attorney in Boca Raton. I have a beautiful wife who looks like she’s half my age. I feel that my saggy eyes make me look older than I am. I’m considering surgery to correct this, but I’m wondering if men typically get this kind of plastic surgery and if it can look natural. Also, what can I expect from surgery with regards to recovery?
Both men and women alike often opt for eye lifts in order to appear younger and more energetic. A blepharoplasty is the medical term for an eye lift, which is used to reduce the appearance of saggy eyes. Eye lifts are also used to treat ptosis, a medical condition that causes drooping eyelids and can sometimes impair vision, due to poor muscle tone or nerve damage.
More and more men are opting to have plastic surgery An increasing number of men today are having cosmetic surgery to help them look younger and more attractive. Like women, men have discovered the benefits of cosmetic surgery, both personally and professionally. Men are recognizing that wrinkles, frown lines, crow’s feet, droopy eyelids, baldness and double chins may make them look old and tired, and appear less competitive on the job and in their personal lives.
As we age, our skin loses elasticity, and thus eyelids and the area under the eye can begin to sag, aging our appearace drastically. An eyelid lift can help improve this condition drastically. During the procedure, the plastic surgeon first makes an incision in the eyelid, and then removes fatty tissue from inside the eyelid. Next, the surgeon will pull the skin to a tighter position and reattach the skin. Surgery typically lasts from 2-3 hours.
After surgery, your surgeon will provide you with a list of ways to care for your eyes and a list of rules for what to do and what not to do. He or she will also prescribe an antibiotic in order to prevent infection, so be sure to let the doctor know if you have any medication allergies. Your surgeon will also prescribe you with lubricating eye drops in order to keep your eyes from becoming too dry or irritated. While recovering, you should refrain from wearing contacts or eye makeup, reading or watching television, or drinking alcohol. Pain can be managed with over-the-counter pain killers. Any substantial pain should be reported to your plastic surgeon.
Patients can usually return to work in 7-10 days and resume full activities in about 3 weeks. Candidates for a blepharoplasty include both men and women who are unhappy with the effects of aging on their appearance, but are otherwise physically healthy. People who have certain eye conditions, including glaucoma, may be ineligible for a blepharoplasty, and should consult with their surgeon before undergoing this, or any other type of surgery.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Both men and women alike often opt for eye lifts in order to appear younger and more energetic. A blepharoplasty is the medical term for an eye lift, which is used to reduce the appearance of saggy eyes. Eye lifts are also used to treat ptosis, a medical condition that causes drooping eyelids and can sometimes impair vision, due to poor muscle tone or nerve damage.
More and more men are opting to have plastic surgery An increasing number of men today are having cosmetic surgery to help them look younger and more attractive. Like women, men have discovered the benefits of cosmetic surgery, both personally and professionally. Men are recognizing that wrinkles, frown lines, crow’s feet, droopy eyelids, baldness and double chins may make them look old and tired, and appear less competitive on the job and in their personal lives.
As we age, our skin loses elasticity, and thus eyelids and the area under the eye can begin to sag, aging our appearace drastically. An eyelid lift can help improve this condition drastically. During the procedure, the plastic surgeon first makes an incision in the eyelid, and then removes fatty tissue from inside the eyelid. Next, the surgeon will pull the skin to a tighter position and reattach the skin. Surgery typically lasts from 2-3 hours.
After surgery, your surgeon will provide you with a list of ways to care for your eyes and a list of rules for what to do and what not to do. He or she will also prescribe an antibiotic in order to prevent infection, so be sure to let the doctor know if you have any medication allergies. Your surgeon will also prescribe you with lubricating eye drops in order to keep your eyes from becoming too dry or irritated. While recovering, you should refrain from wearing contacts or eye makeup, reading or watching television, or drinking alcohol. Pain can be managed with over-the-counter pain killers. Any substantial pain should be reported to your plastic surgeon.
Patients can usually return to work in 7-10 days and resume full activities in about 3 weeks. Candidates for a blepharoplasty include both men and women who are unhappy with the effects of aging on their appearance, but are otherwise physically healthy. People who have certain eye conditions, including glaucoma, may be ineligible for a blepharoplasty, and should consult with their surgeon before undergoing this, or any other type of surgery.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Monday, June 7, 2010
Ask Dr. Man - Pregnancy after a Tummy Tuck
Dear Dr. Man, I live in Parkland- I’m 31 years old and I have 4 children. As a result of my pregnancies, I have a horrible stomach pooch problem. I have flabby hanging skin. I’m embarrassed to wear a bikini. No amount of exercise helps. I desperately want a tummy tuck. But here’s the thing- I think I may want to have another child in a few years. Can I still get a tummy tuck if I plan to get pregnant again? I’m hearing conflicting reports.
Tummy tuck, also called abdominoplasty, is a procedure in which excess fatty tissue and skin are removed from the abdomen and the abdominal muscles are tightened. This procedure is usually needed for women whose skin and muscles have stretched after pregnancy or for people who have lost a significant amount of weight and have loose hanging skin as a result. In my office, I perform what is called a lipoabdominoplasty, which is a technique that fuses together two common plastic surgery procedures into one: liposuction and tummy tuck (abdominoplasty).
Most often, women get this procedure after they are done having babies. In an ideal world, women who want to have children in the future should wait to get this procedure until after all pregnancies. In the real world, women often change their mind or decide to plan another pregnancy. Many women do become pregnant after this procedure; however, patients should keep in mind that flattening work and work on the muscle from the tummy tuck might be undone as a result of pregnancy.
During pregnancy, the skin and muscles of the abdominal area stretches out. Fat pockets that are resistant to diet and exercise build up on the abdomen and abdominal skin becomes loose. These all outcomes of pregnancy can be eliminated by lipoadbominoplasty. However, when a woman becomes pregnant after tummy tuck, the abdominal area treated by this procedure becomes affected and stretches out again in order to fit for the growing fetus. Abdominal wall muscles that had been restored by abdominoplasty can separate again. Re-stretched and loose skin may not look normal again.
Although, former abdominoplasty or lipoabdominoplasty is not a risk for an unborn fetus, it can change a women’s appearance. If the skin becomes loose again and muscles stretch out during pregnancy after tummy tuck, additional procedures may be performed in order to improve the appearance of the abdomen.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Tummy tuck, also called abdominoplasty, is a procedure in which excess fatty tissue and skin are removed from the abdomen and the abdominal muscles are tightened. This procedure is usually needed for women whose skin and muscles have stretched after pregnancy or for people who have lost a significant amount of weight and have loose hanging skin as a result. In my office, I perform what is called a lipoabdominoplasty, which is a technique that fuses together two common plastic surgery procedures into one: liposuction and tummy tuck (abdominoplasty).
Most often, women get this procedure after they are done having babies. In an ideal world, women who want to have children in the future should wait to get this procedure until after all pregnancies. In the real world, women often change their mind or decide to plan another pregnancy. Many women do become pregnant after this procedure; however, patients should keep in mind that flattening work and work on the muscle from the tummy tuck might be undone as a result of pregnancy.
During pregnancy, the skin and muscles of the abdominal area stretches out. Fat pockets that are resistant to diet and exercise build up on the abdomen and abdominal skin becomes loose. These all outcomes of pregnancy can be eliminated by lipoadbominoplasty. However, when a woman becomes pregnant after tummy tuck, the abdominal area treated by this procedure becomes affected and stretches out again in order to fit for the growing fetus. Abdominal wall muscles that had been restored by abdominoplasty can separate again. Re-stretched and loose skin may not look normal again.
Although, former abdominoplasty or lipoabdominoplasty is not a risk for an unborn fetus, it can change a women’s appearance. If the skin becomes loose again and muscles stretch out during pregnancy after tummy tuck, additional procedures may be performed in order to improve the appearance of the abdomen.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Sunday, June 6, 2010
Ask Dr. Man - Post-pregnancy breast lift
Dear Dr. Man, I’m 42 years old and live in Parkland. I have five amazing children. I’m definitely not having any more children and now that I know that, I need to have my breasts fixed. I breastfed all of my children and now I look like I have deflated balloons hanging from my chest. It’s awful and I’m so self-conscious. What can I have done to correct this problem?
Congratulations on your five children and for breastfeeding them all. Pregnancy and nursing, as you know, can take quite a toll on a woman’s breasts. Other factors, such as age and the force of gravity can also play a role. The reason is that the skin loses its elasticity, the breasts lose their shape and they begin to sag. Luckily, help is available.
A breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. A breast lift repositions the breasts into a more pleasing position and gives a more pleasing contour and shape. A breast lift can also reduce the size of the areola, the darker skin surrounding the nipple.
If your breasts are small or have lost volume--for example, after pregnancy--breast implants can be inserted in conjunction with mastopexy to increase both their firmness and their size. Breasts of any size can be lifted and enhanced, but the results may not last as long in heavy breasts.
During the procedure, the surgeon will mark the areas of skin that will be removed above and below the areola. The nipple will then be moved to a new, higher position, while the excess skin above and below the nipple is removed and the breast reshaped. The procedure takes approximately two to four hours and can be performed in an outpatient surgery facility. Patients may experience temporary swelling, numbness and bruising. Most patients return back to work in 1 to 2 weeks and can resume full activities in about 3 to 4 weeks.
Since you aren’t planning to have more children, there should be no need to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast feeding), I do tell my patients that pregnancy is likely to stretch your breasts again, thus offseting the results of the procedure.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Congratulations on your five children and for breastfeeding them all. Pregnancy and nursing, as you know, can take quite a toll on a woman’s breasts. Other factors, such as age and the force of gravity can also play a role. The reason is that the skin loses its elasticity, the breasts lose their shape and they begin to sag. Luckily, help is available.
A breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. A breast lift repositions the breasts into a more pleasing position and gives a more pleasing contour and shape. A breast lift can also reduce the size of the areola, the darker skin surrounding the nipple.
If your breasts are small or have lost volume--for example, after pregnancy--breast implants can be inserted in conjunction with mastopexy to increase both their firmness and their size. Breasts of any size can be lifted and enhanced, but the results may not last as long in heavy breasts.
During the procedure, the surgeon will mark the areas of skin that will be removed above and below the areola. The nipple will then be moved to a new, higher position, while the excess skin above and below the nipple is removed and the breast reshaped. The procedure takes approximately two to four hours and can be performed in an outpatient surgery facility. Patients may experience temporary swelling, numbness and bruising. Most patients return back to work in 1 to 2 weeks and can resume full activities in about 3 to 4 weeks.
Since you aren’t planning to have more children, there should be no need to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast feeding), I do tell my patients that pregnancy is likely to stretch your breasts again, thus offseting the results of the procedure.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Thursday, June 3, 2010
Ask Dr. Man - Body Contouring
Dear Dr. Man, I’m a 36 year old man from Boca Raton. It took me 15 months, but I lost over 95 pounds. Although I lost the weight naturally with diet and exercise, I still have a lot of sagging skin. I feel so much better now, but I’m very self-conscious and find myself covering up a lot. I’m embarrassed to be intimate with a woman. Is there surgery I can get to correct this problem?
First and foremost, congratulations on your weight loss. Your hard work obviously paid off in a big way. Following a substantial amount of weight loss, the skin and tissues often lose elasticity and cannot conform to the reduced body size. As a result, skin can be severely stretched and unsupported. For example:
• Upper arms may sag and appear loose and full
• Breasts may flatten and hang with nipples pointed downward
• Abdominal area may extend around the sides and into the lower back area, resulting in an apron-like overhang
• Buttocks, groin and thighs can sag and cause hanging pockets of skin
Surgical body contouring following major weight loss improves the shape and tone of your underlying tissue that supports fat and skin, and removes excess sagging fat and skin. The result is a more normal appearance to the body, with smoother contours.
Before you decide to undergo body contouring, your weight loss must be stabilized. If you continue to lose weight, sagging pockets may redevelop. Also, if you rapidly regain the weight, you may traumatically stress your already weakened and thinned skin, causing further stress to the skin, visible stretch marks and wide scars.
Good candidates for body contouring are:
• Adults whose weight loss has stabilized
• Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery
• Non-smokers
• Individuals with a positive outlook and realistic goals for what body contouring can accomplish
• Individuals committed to leading a healthy lifestyle including proper nutrition and fitness
There are several procedures that your plastic surgeon may discuss with you for your overall body contouring, including: a body lift, arm lift, thigh lift, etc. During your initial consultation, your surgeon will discuss the options that may be right for you.
The decision to have body contouring surgery is extremely personal and you will have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
The results of a body contouring following weight loss are visible almost immediately. However, it may take as many as one to two years or more for the final results of all the recommended body contouring procedures to fully develop. Visible scars may remain, but the overall results are long lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness. However, most of your initial improvement should be relatively permanent.
Speak to a board-certified plastic surgeon to see if body contouring is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
First and foremost, congratulations on your weight loss. Your hard work obviously paid off in a big way. Following a substantial amount of weight loss, the skin and tissues often lose elasticity and cannot conform to the reduced body size. As a result, skin can be severely stretched and unsupported. For example:
• Upper arms may sag and appear loose and full
• Breasts may flatten and hang with nipples pointed downward
• Abdominal area may extend around the sides and into the lower back area, resulting in an apron-like overhang
• Buttocks, groin and thighs can sag and cause hanging pockets of skin
Surgical body contouring following major weight loss improves the shape and tone of your underlying tissue that supports fat and skin, and removes excess sagging fat and skin. The result is a more normal appearance to the body, with smoother contours.
Before you decide to undergo body contouring, your weight loss must be stabilized. If you continue to lose weight, sagging pockets may redevelop. Also, if you rapidly regain the weight, you may traumatically stress your already weakened and thinned skin, causing further stress to the skin, visible stretch marks and wide scars.
Good candidates for body contouring are:
• Adults whose weight loss has stabilized
• Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery
• Non-smokers
• Individuals with a positive outlook and realistic goals for what body contouring can accomplish
• Individuals committed to leading a healthy lifestyle including proper nutrition and fitness
There are several procedures that your plastic surgeon may discuss with you for your overall body contouring, including: a body lift, arm lift, thigh lift, etc. During your initial consultation, your surgeon will discuss the options that may be right for you.
The decision to have body contouring surgery is extremely personal and you will have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
The results of a body contouring following weight loss are visible almost immediately. However, it may take as many as one to two years or more for the final results of all the recommended body contouring procedures to fully develop. Visible scars may remain, but the overall results are long lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness. However, most of your initial improvement should be relatively permanent.
Speak to a board-certified plastic surgeon to see if body contouring is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Tuesday, June 1, 2010
Ask Dr. Man - Rhinoplasty
Dear Dr. Man, I’m a mother of 2 in Boca Raton. I’d like to have a nose job, but I’m slightly concerned. When I was a teenager, I used drugs, specifically cocaine. I haven’t used drugs in over ten years, but I’m concerned that my prior drug use may have an effect on the nose job. What do you think?
Some drugs that are "snorted" can damage the septum of the nose. The septum is the structure that separates the left and right sides of our nose, internally. During your initial consultation, I encourage you to be open and honest with your board-certified plastic surgeon. When he or she examines you, it should be a relatively easy diagnosis to make, since such damage is easily visible to the surgeon during an initial exam. If the surgeon sees that no damage exists, then rhinoplasty should be no different than in a patient who has no history of drugs. However, if you have suffered damage to the septum, there is a possibility of intermittent bleeding, as well as breathing problems related to the septal damage. Your surgeon should be able to advise you as to the best course of action.
Dear Dr. Man, I’m a 25 year old Boynton Beach native. Several of my friends have had rhinoplasty done, and they have told me that there is swelling for several days afterward. I work a lot, so I’m wondering when I can go back to work looking somewhat normal.
Everyone’s body heals differently. In general, by 7 to 10 days, most patients feel comfortable being in the public eye. In the days following surgery, your face may be bruised, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery. Be sure to follow your surgeon’s post-operative healing instructions carefully; this will help with the healing and ensure minimal swelling and faster recovery.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Some drugs that are "snorted" can damage the septum of the nose. The septum is the structure that separates the left and right sides of our nose, internally. During your initial consultation, I encourage you to be open and honest with your board-certified plastic surgeon. When he or she examines you, it should be a relatively easy diagnosis to make, since such damage is easily visible to the surgeon during an initial exam. If the surgeon sees that no damage exists, then rhinoplasty should be no different than in a patient who has no history of drugs. However, if you have suffered damage to the septum, there is a possibility of intermittent bleeding, as well as breathing problems related to the septal damage. Your surgeon should be able to advise you as to the best course of action.
Dear Dr. Man, I’m a 25 year old Boynton Beach native. Several of my friends have had rhinoplasty done, and they have told me that there is swelling for several days afterward. I work a lot, so I’m wondering when I can go back to work looking somewhat normal.
Everyone’s body heals differently. In general, by 7 to 10 days, most patients feel comfortable being in the public eye. In the days following surgery, your face may be bruised, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery. Be sure to follow your surgeon’s post-operative healing instructions carefully; this will help with the healing and ensure minimal swelling and faster recovery.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Tuesday, May 25, 2010
Ask Dr. Man - Thermage
Dear Dr. Man, I’m 55 years old and I live in Boca Raton. I want younger-looking skin and have thought about getting a facelift, but I haven’t decided yet. One of my friends at the tennis club said she got a treatment called Thermage and that it produced the same results as a facelift. Is this possible? Please tell me more about Thermage and what I can expect, results-wise.
Thermage is a technologically advanced approach to treating aging skin. It is currently used for treating loosening of the skin around the eyes, forehead, mouth and other areas of the body.
Thermage works by heating the underlying layers of the skin (dermis) with a unique delivery of radio frequency energy, while protecting the skin's top layer (epidermis) with a cooling spray. This is accomplished with advanced safety features that monitor skin temperature and regulate treatments. Thermage causes immediate collagen contraction, followed by new collagen production over a period of time, resulting in a more youthful appearance.
Each time energy is delivered, there is an immediate cool sensation, followed by a brief hot sensation, and again by a cool sensation. Depending on the size of the area treated, the procedure itself may take anywhere from 30 minutes to 2 hours.
One of the major benefits of the procedure is that it does not require any downtime, so you can resume normal activities immediately. Minimal redness is seen in some patients, but it usually disappears shortly after treatment. There is no special care needed after treatment. As a part of good skin care, sunscreen is recommended.
Some patients see results soon after treatment; although in most patients, results appear gradually over 2 to 6 months. Recently completed studies demonstrated continued improvements for at least 6 months after a single treatment session. Thermage is very safe. Although this is a relatively newer technology, the number of adverse effects has been small.
While Thermage is an excellent treatment option for many people, it is not a replacement for a facelift or blepharoplasty (eyelid lift). It is important to have realistic expectations when undergoing any treatment. If you’re considering Thermage or any other procedure, visit a board-certified plastic surgeon or dermatologist to see what is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Thermage is a technologically advanced approach to treating aging skin. It is currently used for treating loosening of the skin around the eyes, forehead, mouth and other areas of the body.
Thermage works by heating the underlying layers of the skin (dermis) with a unique delivery of radio frequency energy, while protecting the skin's top layer (epidermis) with a cooling spray. This is accomplished with advanced safety features that monitor skin temperature and regulate treatments. Thermage causes immediate collagen contraction, followed by new collagen production over a period of time, resulting in a more youthful appearance.
Each time energy is delivered, there is an immediate cool sensation, followed by a brief hot sensation, and again by a cool sensation. Depending on the size of the area treated, the procedure itself may take anywhere from 30 minutes to 2 hours.
One of the major benefits of the procedure is that it does not require any downtime, so you can resume normal activities immediately. Minimal redness is seen in some patients, but it usually disappears shortly after treatment. There is no special care needed after treatment. As a part of good skin care, sunscreen is recommended.
Some patients see results soon after treatment; although in most patients, results appear gradually over 2 to 6 months. Recently completed studies demonstrated continued improvements for at least 6 months after a single treatment session. Thermage is very safe. Although this is a relatively newer technology, the number of adverse effects has been small.
While Thermage is an excellent treatment option for many people, it is not a replacement for a facelift or blepharoplasty (eyelid lift). It is important to have realistic expectations when undergoing any treatment. If you’re considering Thermage or any other procedure, visit a board-certified plastic surgeon or dermatologist to see what is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Monday, May 24, 2010
Ask Dr. Man - Areola Reduction
Dear Dr. Man, I’m 33 years old and live in Delray Beach, Florida. I’m the proud mom of 2 children. Ever since I had my babies and breastfed them, my areolas are huge. My nipples are also pretty big and they look like they’re sagging. I’m very self-conscious and not happy with the way my breasts look. I’ve heard of a breast reduction, but I actually don’t mind the actual size of my breasts. I really just want to get my nipples and areolas fixed. Is this possible? What can be done?
Usually when people think of enhancing the breasts, they think about breast lifts, breast reductions and breast enlargements. However, for some people, concerns are much more localized; specifically, they are unhappy with their areolas and/or nipples. The nipple is the projected part and the areola is the dark pigmented skin that surrounds the nipple. Luckily, there is surgery available to correct these concerns.
It is actually quite common to develop enlarged areolas after breastfeeding, especially in large breasted women. Some large breasted women even develop large areolas without breastfeeding. If the size of the areola is disproportionately large for the breast, it can give the breast an older, aging appearance, making surgery desirable.
Some men who develop enlarged breast tissue (also known as gynecomastia) can also have large areolas. Often men who have large areolas seek surgery to reduce the size of their areolas, since larger areolas are considered a feminine feature.
Areola reduction is standard during breast reduction and breast lift surgery to reduce the size of the areolas to make them match the size of the new breasts and to give the breasts a more youthful appearance. Areola reduction can also be performed as a standalone procedure.
There is another procedure called nipple reduction that can either be performed as a separate procedure or in combination with other breast surgery. Many women develop large, projecting nipples that, in some cases, can droop, especially after breastfeeding. During surgery, the nipple is telescoped back into the breast, providing a more youthful and balanced appearance.
Nipple and areola surgery can do wonders for self-esteem and body image. Surgery usually takes 2-3 hours and the patient can return to limited activities within a day or two. Sensitivity is usually maintained and all steps are taken to maintain the patient's ability to breastfeed.
I recommend visiting a board-certified plastic surgeon to see if these surgeries are right for you. Good luck.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Usually when people think of enhancing the breasts, they think about breast lifts, breast reductions and breast enlargements. However, for some people, concerns are much more localized; specifically, they are unhappy with their areolas and/or nipples. The nipple is the projected part and the areola is the dark pigmented skin that surrounds the nipple. Luckily, there is surgery available to correct these concerns.
It is actually quite common to develop enlarged areolas after breastfeeding, especially in large breasted women. Some large breasted women even develop large areolas without breastfeeding. If the size of the areola is disproportionately large for the breast, it can give the breast an older, aging appearance, making surgery desirable.
Some men who develop enlarged breast tissue (also known as gynecomastia) can also have large areolas. Often men who have large areolas seek surgery to reduce the size of their areolas, since larger areolas are considered a feminine feature.
Areola reduction is standard during breast reduction and breast lift surgery to reduce the size of the areolas to make them match the size of the new breasts and to give the breasts a more youthful appearance. Areola reduction can also be performed as a standalone procedure.
There is another procedure called nipple reduction that can either be performed as a separate procedure or in combination with other breast surgery. Many women develop large, projecting nipples that, in some cases, can droop, especially after breastfeeding. During surgery, the nipple is telescoped back into the breast, providing a more youthful and balanced appearance.
Nipple and areola surgery can do wonders for self-esteem and body image. Surgery usually takes 2-3 hours and the patient can return to limited activities within a day or two. Sensitivity is usually maintained and all steps are taken to maintain the patient's ability to breastfeed.
I recommend visiting a board-certified plastic surgeon to see if these surgeries are right for you. Good luck.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Sunday, May 23, 2010
Ask Dr. Man - Lapex Laser
Dear Dr. Man, I live in West Palm Beach, but my friend who lives in Boca Raton mentioned that she got non-surgical liposuction. I’m totally interested and didn’t know this existed! I believe she mentioned something about lasers. Please tell me more! What can I expect?
Your friend was most likely referring to laser lipoplasty, or non-surgical liposuction. In our office, we use the latest technology called LAPEX 2000 LipoLaser. The new science of laser lipoplasty (non- surgical liposuction) is used by plastic surgeons to offer patients an effective, alternative treatment to surgical liposuction. The Lapex 2000 offers a safe and effective spot fat reduction solution that can be applied to multiple problem areas, including: abdomen and waistline, buttocks, inner and outer thighs, neck, arms, underarms, and upper, mid and lower back. Laser lipoplasty represents a pioneering and revolutionary new field of non-invasive liposuction and aesthetic treatment for fat and cellulite reduction.
During a treatment session, patients relax in a comfortable position while a trained technician applies the low level laser pads directly to the skin to the targeted treatment area for roughly 10 minute intervals. Then the pads or paddles are moved to the next area. Throughout the treatment, patients sit back, relax and enjoy the comforting massage-like experience by reading, listening to music, or watching television. After treatment, patients undergo 10 minutes of cardio exercise, typically by standing on a special vibration device that helps the body burn the fat that is released. Drinking plenty of fluids is encouraged, as well as additional cardiovascular exercise.
The procedure is safe and painless. Treatments are non-invasive and have no downtime. Most patients report a sensation of relaxation. The low-level laser technology has been studied and used extensively for over 30 years for other biomedical purposes, including stimulation of wound healing, pain relief, facilitation of liposuction with pre-surgery and post-surgery treatments - all with no known significant adverse reactions. Clients can resume their normal activities immediately after treatment with no bruising or swelling.
Many patients notice results after the first one or two treatments; however, a standard treatment protocol consists of two 40 minute treatment sessions every week for four to eight weeks. Maintenance treatments can be performed at less frequent intervals once desired results are achieved.
This treatment has been shown to be effective for people over the age of 18, and all body and skin types. It is ideal for patients who desire spot reductions for areas that do not respond to diet or exercise. The best results will be seen by men and women who want to get rid of stubborn areas of body fat despite exercising regularly and maintaining a healthy lifestyle. As with any fat reduction or body contouring procedure, results are drastically improved if the treatment is done in conjunction with an overall diet and exercise program. It is strongly recommended that each patient is evaluated based on body type and lifestyle so that reasonable expectations may be set.
Daniel Man, M.D., is a board-certified plastic surgeon that has dedicated his life’s work to helping people look younger and feel better about their appearance. He is a noted author, artist and inventor. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Your friend was most likely referring to laser lipoplasty, or non-surgical liposuction. In our office, we use the latest technology called LAPEX 2000 LipoLaser. The new science of laser lipoplasty (non- surgical liposuction) is used by plastic surgeons to offer patients an effective, alternative treatment to surgical liposuction. The Lapex 2000 offers a safe and effective spot fat reduction solution that can be applied to multiple problem areas, including: abdomen and waistline, buttocks, inner and outer thighs, neck, arms, underarms, and upper, mid and lower back. Laser lipoplasty represents a pioneering and revolutionary new field of non-invasive liposuction and aesthetic treatment for fat and cellulite reduction.
During a treatment session, patients relax in a comfortable position while a trained technician applies the low level laser pads directly to the skin to the targeted treatment area for roughly 10 minute intervals. Then the pads or paddles are moved to the next area. Throughout the treatment, patients sit back, relax and enjoy the comforting massage-like experience by reading, listening to music, or watching television. After treatment, patients undergo 10 minutes of cardio exercise, typically by standing on a special vibration device that helps the body burn the fat that is released. Drinking plenty of fluids is encouraged, as well as additional cardiovascular exercise.
The procedure is safe and painless. Treatments are non-invasive and have no downtime. Most patients report a sensation of relaxation. The low-level laser technology has been studied and used extensively for over 30 years for other biomedical purposes, including stimulation of wound healing, pain relief, facilitation of liposuction with pre-surgery and post-surgery treatments - all with no known significant adverse reactions. Clients can resume their normal activities immediately after treatment with no bruising or swelling.
Many patients notice results after the first one or two treatments; however, a standard treatment protocol consists of two 40 minute treatment sessions every week for four to eight weeks. Maintenance treatments can be performed at less frequent intervals once desired results are achieved.
This treatment has been shown to be effective for people over the age of 18, and all body and skin types. It is ideal for patients who desire spot reductions for areas that do not respond to diet or exercise. The best results will be seen by men and women who want to get rid of stubborn areas of body fat despite exercising regularly and maintaining a healthy lifestyle. As with any fat reduction or body contouring procedure, results are drastically improved if the treatment is done in conjunction with an overall diet and exercise program. It is strongly recommended that each patient is evaluated based on body type and lifestyle so that reasonable expectations may be set.
Daniel Man, M.D., is a board-certified plastic surgeon that has dedicated his life’s work to helping people look younger and feel better about their appearance. He is a noted author, artist and inventor. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Saturday, May 22, 2010
Ask Dr. Man - Surgery Abroad
Dear Dr. Man, My friend and I live in Boca Raton. We were talking the other day about getting some plastic surgery work done. My friend, however, is mentioning getting her work done in South America. I was shocked to hear this. I’m trying to convince her to stay here and get it done. What do you think?
I’ve heard of many women deciding to go abroad to have their plastic surgery performed in other countries. I’ve also heard many disaster stories of surgeries gone wrong as a result. While there are some very reputable surgeons in other countries, there are also surgeons and facilities that are not as reputable or safe. By staying in the United States, there are standards and board-certifications that can ensure a patient that they are going to a doctor who is certified and safe. Aside from the surgeon itself, it is essential that pre and post-operation facilities are sterile and clean; if they are not, it can cause infection. Infection can lead to serious illness or even death. Board-certified U.S. surgeons are also affiliated with accredited medical facilities that are equipped to handle any potential complications during surgery; whereas some foreign hospitals may not be equipped for such emergencies.
Some people decide to go abroad to have surgery because of cost. However, plastic surgery abroad can cost patients much more- both in health and money- than they expect. It is far more costly to have a surgery gone wrong than to get it done right in the first place. Revision surgery for botched cases can end up costing far more than the original procedure. Furthermore, for legal reasons, some U.S. surgeons may be reluctant to correct complications from procedures performed abroad. Also, U.S. malpractice laws do not apply abroad. If money is the issue, than I encourage patients to explore financing options through their U.S. plastic surgeon.
I recommend getting surgery in the U.S.; however, if your friend does decide to go abroad for her surgery, be sure that she researches the surgeon thoroughly. Also, research the facilities as well. Be sure they have sufficient facilities nearby that are equipped to manage any unexpected medical complications.
Daniel Man, M.D., is a board-certified plastic surgeon that has dedicated his life’s work to helping people look younger and feel better about their appearance. He is a noted author, artist and inventor. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
I’ve heard of many women deciding to go abroad to have their plastic surgery performed in other countries. I’ve also heard many disaster stories of surgeries gone wrong as a result. While there are some very reputable surgeons in other countries, there are also surgeons and facilities that are not as reputable or safe. By staying in the United States, there are standards and board-certifications that can ensure a patient that they are going to a doctor who is certified and safe. Aside from the surgeon itself, it is essential that pre and post-operation facilities are sterile and clean; if they are not, it can cause infection. Infection can lead to serious illness or even death. Board-certified U.S. surgeons are also affiliated with accredited medical facilities that are equipped to handle any potential complications during surgery; whereas some foreign hospitals may not be equipped for such emergencies.
Some people decide to go abroad to have surgery because of cost. However, plastic surgery abroad can cost patients much more- both in health and money- than they expect. It is far more costly to have a surgery gone wrong than to get it done right in the first place. Revision surgery for botched cases can end up costing far more than the original procedure. Furthermore, for legal reasons, some U.S. surgeons may be reluctant to correct complications from procedures performed abroad. Also, U.S. malpractice laws do not apply abroad. If money is the issue, than I encourage patients to explore financing options through their U.S. plastic surgeon.
I recommend getting surgery in the U.S.; however, if your friend does decide to go abroad for her surgery, be sure that she researches the surgeon thoroughly. Also, research the facilities as well. Be sure they have sufficient facilities nearby that are equipped to manage any unexpected medical complications.
Daniel Man, M.D., is a board-certified plastic surgeon that has dedicated his life’s work to helping people look younger and feel better about their appearance. He is a noted author, artist and inventor. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Friday, May 21, 2010
Ask Dr. Man - Nipple inversion and Breast feeding
Dear Dr. Man, I’m 24 years old and newly married, living in Boca Raton. We are planning to start a family within the next year or so and I want to breastfeed when I have a baby. Problem is that I have had flat nipples my whole life. I believe the doctor called my condition inverted nipples. Is there something I can do to correct this? I’ve always been rather self-conscious, but now I want to breastfeed so it is even more important to fix this. Is this a major surgery? Please tell me more.
Your condition is not uncommon. An inverted nipple can look flat or have a slit like depression or hole at the normal nipple location. There are different degrees of inverted nipples. Inverted nipples can cause functional problems for women, as well as emotional concerns. Many women undergo nipple inversion repair to improve the efficiency of breastfeeding.
Inverted nipples can be repaired with a minor surgical procedure that improves nipple projection and nipple appearance. The objective is to reshape the nipple and areola so that the nipple projects out from the breast, enhancing the appearance of the breast while preserving sensitivity of the nipple. The technique that leaves the milk ducts intact can also help preserve a woman's ability to breastfeed.
The doctor makes a small incision in the nipple area and then corrects the inversion using stitching or local rearrangement of your tissue. Once the inverted nipple has been corrected, the incision is stitched closed and gauze dressings are placed over your breast. When correction of nipple inversion surgery is performed by a qualified, board-certified plastic surgeon, complications are infrequent and usually minor.
A special surgical bra is placed over your breasts after the surgery to ensure that your breasts are held in the best position for healing. You should sleep on your back for the first week after surgery to help with the healing process. You should wear the special surgical bra placed over your breasts after surgery at all times for the first few days. A softer sports bra should be worn at all times for the first two weeks after surgery. The bra should be worn even while sleeping to help hold your breasts in the correct position. You may take the bra off to shower or bathe, but must put it back on immediately after drying off.
Most patients return to work or school, as well as driving, within a couple of days after surgery. Most patients can resume heavier exercise about three to four weeks after surgery. Scars on your breasts should be protected from the sun for at least a year after surgery.
If you are in general good health and have a clear understanding of the limitations and potential results of your nipple inversion repair, you should be a good candidate for the procedure. Talk to a board certified plastic surgeon to see if this surgery is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Your condition is not uncommon. An inverted nipple can look flat or have a slit like depression or hole at the normal nipple location. There are different degrees of inverted nipples. Inverted nipples can cause functional problems for women, as well as emotional concerns. Many women undergo nipple inversion repair to improve the efficiency of breastfeeding.
Inverted nipples can be repaired with a minor surgical procedure that improves nipple projection and nipple appearance. The objective is to reshape the nipple and areola so that the nipple projects out from the breast, enhancing the appearance of the breast while preserving sensitivity of the nipple. The technique that leaves the milk ducts intact can also help preserve a woman's ability to breastfeed.
The doctor makes a small incision in the nipple area and then corrects the inversion using stitching or local rearrangement of your tissue. Once the inverted nipple has been corrected, the incision is stitched closed and gauze dressings are placed over your breast. When correction of nipple inversion surgery is performed by a qualified, board-certified plastic surgeon, complications are infrequent and usually minor.
A special surgical bra is placed over your breasts after the surgery to ensure that your breasts are held in the best position for healing. You should sleep on your back for the first week after surgery to help with the healing process. You should wear the special surgical bra placed over your breasts after surgery at all times for the first few days. A softer sports bra should be worn at all times for the first two weeks after surgery. The bra should be worn even while sleeping to help hold your breasts in the correct position. You may take the bra off to shower or bathe, but must put it back on immediately after drying off.
Most patients return to work or school, as well as driving, within a couple of days after surgery. Most patients can resume heavier exercise about three to four weeks after surgery. Scars on your breasts should be protected from the sun for at least a year after surgery.
If you are in general good health and have a clear understanding of the limitations and potential results of your nipple inversion repair, you should be a good candidate for the procedure. Talk to a board certified plastic surgeon to see if this surgery is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Thursday, May 20, 2010
Ask Dr. Man - Biodesign Facial Filler
Dear Dr. Man, I live in Miami and I read your column every week. I want to have my face worked on. I have deep frown lines and sunken eyes. I’ve tried several facial fillers over the years, but now my plastic surgeon is recommending Biodesign, telling me it works better than most other facial fillers. Can you tell me more about it? How is it different from other facial fillers?
Thanks for being a loyal reader. Biodesign (tm) is a soft tissue facial implant material that restores volume and fills deep lines including: smile and frown lines, lip lines around the mouth, and deep depressions or sunken areas of the face. It is made from a natural protein material that contains growth factors and is bio identical to your own body’s tissue. It offers a permanent solution for patients who want an alternative to repetitive, costly, and sometimes painful filler injections.
Biodesign is ideal for filling in and creating volume to:
-Nasolabial folds: the “smile lines” extending from the outside edge of the nostril to the corner of the mouth.
- Glabellar lines: the frown lines between the eyebrows.
- Marionette lines: the “sad lines” extending downward from the outside of the corner of the lower lip.
- Depressions: the sunken in areas of the face and cheeks
- Eye areas: the under eye areas that are sunken in, have loose skin or wrinkles.
Biodesign is an advanced tissue repair technology that uses a naturally derived biologic material containing growth factors. It signals the body’s own tissues to grow and produce new cells, thereby incorporating the new tissue implant into surrounding tissues. Because the implant remodels host tissue instead of being absorbed in order to fill in and create volume, it provides a long-lasting result that is not a synthetic or foreign material. The implant does not wear off like temporary fillers that are associated with repeat treatments every few months as the body breaks down the filler. With Biodesign, repetitive and costly injections are not required indefinitely to be maintained.
Biodesign is bio identical to human tissue and is ideally suited for facial rejuvenation. Because it is a tissue builder or regenerator, it has the unique ability to be absorbed and incorporated into your body’s own tissue, which makes it resistant to infection, rejection or erosion. Once inserted, Biodesign signals the body to produce collagen and signals cells to grow into the tissue implant, which is bio-integrated over time. Studies have shown the tissue implant able to bio-integrate with the body’s own tissue, making it four times stronger. The implant has been used in millions of surgical procedures, including abdominoplasty, abdominal repair, pelvic repair and heart valves.
The 15-minute procedure is performed under local anesthetic in the patient examination room. Once the patient is anesthetized, a small opening is made into the skin and the implant material is inserted into the soft tissue and threaded underneath the skin.
Because the procedure is done under local anesthetic, there is no pain involved. While there may be some discomfort, patients are comfortable throughout the procedure. Patients may experience minor pressure as the implant is inserted into the soft tissue. Most discomfort, if present, usually resolves after several days. There is not very much bruising with typical cases, although this may vary from person to person. Some patients are more prone to bruising than others.
The results of Biodesign are long-lasting and permanent, as the implant is integrated into the soft tissue and stays there. Results can be seen immediately as the implant fills in the space. Initially, the implant may feel hard or irregular, but this gets better and softer over time as the implant integrates with the body’s own tissue.
Daniel Man, M.D., is a board-certified plastic surgeon that has dedicated his life’s work to helping people look younger and feel better about their appearance. He is a noted author, artist and inventor. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Thanks for being a loyal reader. Biodesign (tm) is a soft tissue facial implant material that restores volume and fills deep lines including: smile and frown lines, lip lines around the mouth, and deep depressions or sunken areas of the face. It is made from a natural protein material that contains growth factors and is bio identical to your own body’s tissue. It offers a permanent solution for patients who want an alternative to repetitive, costly, and sometimes painful filler injections.
Biodesign is ideal for filling in and creating volume to:
-Nasolabial folds: the “smile lines” extending from the outside edge of the nostril to the corner of the mouth.
- Glabellar lines: the frown lines between the eyebrows.
- Marionette lines: the “sad lines” extending downward from the outside of the corner of the lower lip.
- Depressions: the sunken in areas of the face and cheeks
- Eye areas: the under eye areas that are sunken in, have loose skin or wrinkles.
Biodesign is an advanced tissue repair technology that uses a naturally derived biologic material containing growth factors. It signals the body’s own tissues to grow and produce new cells, thereby incorporating the new tissue implant into surrounding tissues. Because the implant remodels host tissue instead of being absorbed in order to fill in and create volume, it provides a long-lasting result that is not a synthetic or foreign material. The implant does not wear off like temporary fillers that are associated with repeat treatments every few months as the body breaks down the filler. With Biodesign, repetitive and costly injections are not required indefinitely to be maintained.
Biodesign is bio identical to human tissue and is ideally suited for facial rejuvenation. Because it is a tissue builder or regenerator, it has the unique ability to be absorbed and incorporated into your body’s own tissue, which makes it resistant to infection, rejection or erosion. Once inserted, Biodesign signals the body to produce collagen and signals cells to grow into the tissue implant, which is bio-integrated over time. Studies have shown the tissue implant able to bio-integrate with the body’s own tissue, making it four times stronger. The implant has been used in millions of surgical procedures, including abdominoplasty, abdominal repair, pelvic repair and heart valves.
The 15-minute procedure is performed under local anesthetic in the patient examination room. Once the patient is anesthetized, a small opening is made into the skin and the implant material is inserted into the soft tissue and threaded underneath the skin.
Because the procedure is done under local anesthetic, there is no pain involved. While there may be some discomfort, patients are comfortable throughout the procedure. Patients may experience minor pressure as the implant is inserted into the soft tissue. Most discomfort, if present, usually resolves after several days. There is not very much bruising with typical cases, although this may vary from person to person. Some patients are more prone to bruising than others.
The results of Biodesign are long-lasting and permanent, as the implant is integrated into the soft tissue and stays there. Results can be seen immediately as the implant fills in the space. Initially, the implant may feel hard or irregular, but this gets better and softer over time as the implant integrates with the body’s own tissue.
Daniel Man, M.D., is a board-certified plastic surgeon that has dedicated his life’s work to helping people look younger and feel better about their appearance. He is a noted author, artist and inventor. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Sunday, May 2, 2010
Ask Dr. Man - Facelift
Dear Dr. Man, I live in Miami, Florida and I’m 55 years old. I consider myself in shape, but my face is showing some signs of aging. My eyebrows are droopy and saggy, and I have lines and creases in my forehead. What kind of surgery would help?
As we age, it is very common to develop droopy eyebrows, hooding over eyes, forehead creases and frown lines. A forehead lift (a.k.a. "brow lift") can help to reduce deep creases, horizontal lines, and furrows in the forehead, while lifting heavy, droopy eyebrows that can create a hooding effect over the eyes. A forehead lift or "browlift" is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.
In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results- smoother forehead skin and a more animated appearance.
The forehead muscles run vertically down the forehead and attach to the eyebrows and eye sockets. In a forehead lift, the muscles and tissues that cause the furrowing or drooping are repositioned to smooth the forehead, raise the eyebrows and minimize frown lines. Frown lines between the eyes can also be reduced with the use of Botox injections. The results give the face a more alert, rested and youthful appearance.
A forehead lift is generally performed right in the plastic surgeon’s office under general or I.V. sedation, through an endoscope using small incisions. This procedure lasts approximately one to two hours. During recovery, patients may experience temporary swelling, bruising, or numbness. Patients are usually back to work in several days. Visit a board-certified plastic surgeon to find out exactly what treatment would be best for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
As we age, it is very common to develop droopy eyebrows, hooding over eyes, forehead creases and frown lines. A forehead lift (a.k.a. "brow lift") can help to reduce deep creases, horizontal lines, and furrows in the forehead, while lifting heavy, droopy eyebrows that can create a hooding effect over the eyes. A forehead lift or "browlift" is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.
In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results- smoother forehead skin and a more animated appearance.
The forehead muscles run vertically down the forehead and attach to the eyebrows and eye sockets. In a forehead lift, the muscles and tissues that cause the furrowing or drooping are repositioned to smooth the forehead, raise the eyebrows and minimize frown lines. Frown lines between the eyes can also be reduced with the use of Botox injections. The results give the face a more alert, rested and youthful appearance.
A forehead lift is generally performed right in the plastic surgeon’s office under general or I.V. sedation, through an endoscope using small incisions. This procedure lasts approximately one to two hours. During recovery, patients may experience temporary swelling, bruising, or numbness. Patients are usually back to work in several days. Visit a board-certified plastic surgeon to find out exactly what treatment would be best for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL.
Thursday, March 4, 2010
Ask Dr. Man- Nose Job
Dear Dr. Man, I desperately want a nose job. I am very happy with everything about my body- EXCEPT my nose. I have this unsightly bump at the top of my nose and I’ve even had people tell me that if I didn’t have this bump, I could be a model. Can you please tell me more about the nose job procedure and what it entails? Also, what is the recovery like? I’m in college and I need to know how much time I need to recover.
Surgery to reshape the nose (otherwise known as rhinoplasty) is one of the most common of all plastic surgery procedures. It is common among men and women of all ages, young and old. You are not alone- many people have been affected by stares and comments by people they know and even strangers.
Rhinoplasty can be used to reshape the nose in many ways, depending on the patient’s needs and desires. Some of these ways include reducing or increasing the size of the nose, changing the shape of the tip or the bridge, narrowing the span of the nostrils, or even changing the angle between your nose and your upper lip. Rhinoplasty can also be used to correct injuries or birth defects, or to help relieve breathing problems.
The best candidates for rhinoplasty are people who are looking to improve their appearance, are physically healthy, psychologically stable and realistic in their expectations.
Rhinoplasty can be performed under local with IV sedation or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer. Rhinoplasty usually takes an hour or two; however, complicated procedures may take longer. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. You can reduce these risks by carefully following your surgeon's instructions. In the days following surgery, your face will be bruised and swollen, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery. Since you’re in college, I recommend having the procedure done during one of your breaks or over the summer.
Rhinoplasty can do wonders to enhance appearance and boost self-confidence. When meeting with your plastic surgeon, discuss your expectations and realistic options for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Surgery to reshape the nose (otherwise known as rhinoplasty) is one of the most common of all plastic surgery procedures. It is common among men and women of all ages, young and old. You are not alone- many people have been affected by stares and comments by people they know and even strangers.
Rhinoplasty can be used to reshape the nose in many ways, depending on the patient’s needs and desires. Some of these ways include reducing or increasing the size of the nose, changing the shape of the tip or the bridge, narrowing the span of the nostrils, or even changing the angle between your nose and your upper lip. Rhinoplasty can also be used to correct injuries or birth defects, or to help relieve breathing problems.
The best candidates for rhinoplasty are people who are looking to improve their appearance, are physically healthy, psychologically stable and realistic in their expectations.
Rhinoplasty can be performed under local with IV sedation or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer. Rhinoplasty usually takes an hour or two; however, complicated procedures may take longer. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. You can reduce these risks by carefully following your surgeon's instructions. In the days following surgery, your face will be bruised and swollen, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery. Since you’re in college, I recommend having the procedure done during one of your breaks or over the summer.
Rhinoplasty can do wonders to enhance appearance and boost self-confidence. When meeting with your plastic surgeon, discuss your expectations and realistic options for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Wednesday, March 3, 2010
Ask Dr. Man - Liposuction
Who is a good candidate for liposuction?
Patients who are likely to benefit from suction are enjoying good health, have the right expectations, and are aware of the limitations of this technique.
Liposuction with body jet (relatively one of the new techniques), coupled with laser liposuction (such as the 1444 nm by lutronic) , done on the ART (articulating, reclining, tilting) table offers significant improvement contour for most of our body areas.
Patients benefit by looking better, feeling better about their appearance, enjoying an improvement in clothing, as they will have now better body image. When combined with a program of good nutritional diet such as (ideal protein) and correct exercises, these patients will have a long term of success.
Let’s take an example of suction of the abdomen:
When considering excess abdominal fat, it is important to remember that the ideal abdominal shape is determined by the relationship of the upper, mid and lower abdomen and the love handles. It is important to evaluate whether or not posture abnormality exists. By pinching skin of the abdomen the amount of subcutaneous fat is noted. In some instances it appears as if the belly is fat but it is possible that that fat is not a subcutaneous but rather intra abdominal (omental fat), in which case losing weight first (with ideal protein) and then pursue with the suction later. The obvious common subcutaneous fat collection is where liposuction will make dramatic improvements.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Tuesday, March 2, 2010
Ask Dr. Man - Dermabrasion vs. Microdermabrasion
What is the difference between Dermabrasion and Microdermabrasion?
Both methods are used to improve the surface of the skin Dermabrasion acts to mechanically remove sharp edges of acne scars and other acquired scars. This technique blends acne scars into the surrounding facial skin, making them less noticeable. The surgeon uses a certain tool that has sanding capabilities and with his experience he knows how deep and far he has to go until he gets the best results.
Microdermabrasion; is a finer method that uses aluminum oxide or other crystals with high speed pressurized pump. Treatment results in more superficial abrasion.
Dermabrasion treats deeper larger scars better than Microdermabrasion.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Interested in looking younger but worried about surgery? Be sure to visit
http://drman-skinrejuvenationpeel.com and
http://dr-acculift.com to learn more about non-surgical or minimally invasive procedures.
Both methods are used to improve the surface of the skin Dermabrasion acts to mechanically remove sharp edges of acne scars and other acquired scars. This technique blends acne scars into the surrounding facial skin, making them less noticeable. The surgeon uses a certain tool that has sanding capabilities and with his experience he knows how deep and far he has to go until he gets the best results.
Microdermabrasion; is a finer method that uses aluminum oxide or other crystals with high speed pressurized pump. Treatment results in more superficial abrasion.
Dermabrasion treats deeper larger scars better than Microdermabrasion.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
http://drman-skinrejuvenationpeel.com and
http://dr-acculift.com to learn more about non-surgical or minimally invasive procedures.
Monday, March 1, 2010
Ask Dr. Man - Breast Augmentation
Does breast enlargement reduce the risk of suicide?
A study published in the scientific form in the aesthetic surgery by Dr. Thomas Joiner, Jr., PhD, a professor of psychology in the Florida state university suggest that suicide rates in breast augmentation patients is lower than the expected rate when these patients’ demographic and other pre-surgery characteristics are taken into account.
Even though the literature in the past suggested otherwise, a relatively new survey showed otherwise. The mechanism for this protective effect is embedded in the increased satisfaction with their body image. (Aesthetic Surg J 2003;23:370-37)
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
A study published in the scientific form in the aesthetic surgery by Dr. Thomas Joiner, Jr., PhD, a professor of psychology in the Florida state university suggest that suicide rates in breast augmentation patients is lower than the expected rate when these patients’ demographic and other pre-surgery characteristics are taken into account.
Even though the literature in the past suggested otherwise, a relatively new survey showed otherwise. The mechanism for this protective effect is embedded in the increased satisfaction with their body image. (Aesthetic Surg J 2003;23:370-37)
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Interested in looking younger but worried about surgery? Be sure to visit
http://drman-skinrejuvenationpeel.com to learn more about non-surgical procedures.
Sunday, February 28, 2010
Ask Dr. Man – Juvederm
Dear Dr. Man, I’m 42 years old and my mom is 64. My mom just got Juvederm treatments at the plastic surgeon and she looks great. I’ve inherited her wrinkles and am wondering if I can expect similar results, since I’m younger than her. Can you tell me more about Juvederm?
Let me start off by saying that no two people can expect the same results from plastic surgery. Every patient is different, so everyone must expect some difference in results. That being said, when wrinkles, creases and sunken areas of the face begin to appear with aging, the use of facial fillers is usually a good treatment option for most people. Some common fillers are hyaluronic acids, fat, and collagen, just to name a few. Like other hyaluronic acid injectable fillers (e.g. Restylane, Perlane, etc.), Juvederm™ is injected directly into the face for immediate, natural looking results. Juvederm is designed to smooth out facial folds and wrinkles to produce a smoother, more youthful looking appearance for up to six months.
In 2006, the U.S. Food and Drug Administration approved Allergan’s Juvederm as the “next generation of hyaluronic acid dermal fillers.” Juvederm is said to provide longer-lasting, smoother results than its competitors. Hyaluronic acid is a naturally occurring complex sugar found in living organisms that creates structure and elasticity in the skin. With age, the body’s production of hyaluronic acid decreases, and injectable fillers help restore facial volume. Juvederm, however, is unlike other hyaluronic acid fillers in that it consists of a smooth gel containing higher levels of non-animal and cross-linked acid, leading to longer lasting results.
The ideal candidates for Juvederm treatments include individuals with moderate to severe folds and wrinkles around the nose and mouth area. Some of the benefits of Juvederm include:
• Minimized appearance of wrinkles and folds
• Immediate improvement in facial volume and structure
• Minimally invasive treatment with no downtime
• Longer-lasting results
Some patients experience mild, temporary side effects including swelling, bruising, redness, and tenderness; however, most patients tolerate Juvederm very well.
There are plenty of women your age who get this treatment. Talk with a board-certified plastic surgeon to see if Juvederm is the correct procedure for you. Good luck!
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Let me start off by saying that no two people can expect the same results from plastic surgery. Every patient is different, so everyone must expect some difference in results. That being said, when wrinkles, creases and sunken areas of the face begin to appear with aging, the use of facial fillers is usually a good treatment option for most people. Some common fillers are hyaluronic acids, fat, and collagen, just to name a few. Like other hyaluronic acid injectable fillers (e.g. Restylane, Perlane, etc.), Juvederm™ is injected directly into the face for immediate, natural looking results. Juvederm is designed to smooth out facial folds and wrinkles to produce a smoother, more youthful looking appearance for up to six months.
In 2006, the U.S. Food and Drug Administration approved Allergan’s Juvederm as the “next generation of hyaluronic acid dermal fillers.” Juvederm is said to provide longer-lasting, smoother results than its competitors. Hyaluronic acid is a naturally occurring complex sugar found in living organisms that creates structure and elasticity in the skin. With age, the body’s production of hyaluronic acid decreases, and injectable fillers help restore facial volume. Juvederm, however, is unlike other hyaluronic acid fillers in that it consists of a smooth gel containing higher levels of non-animal and cross-linked acid, leading to longer lasting results.
The ideal candidates for Juvederm treatments include individuals with moderate to severe folds and wrinkles around the nose and mouth area. Some of the benefits of Juvederm include:
• Minimized appearance of wrinkles and folds
• Immediate improvement in facial volume and structure
• Minimally invasive treatment with no downtime
• Longer-lasting results
Some patients experience mild, temporary side effects including swelling, bruising, redness, and tenderness; however, most patients tolerate Juvederm very well.
There are plenty of women your age who get this treatment. Talk with a board-certified plastic surgeon to see if Juvederm is the correct procedure for you. Good luck!
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Ask Dr. Man - Rhinoplasty
Dear Dr. Man, I’m 60 years old and my kids are grown and out of the house. I live in Boca Raton and I’ve been going to the gym and have lost weight and I feel great. However, now that I’ve lost weight, I feel like my nose looks even bigger than before. I’m thinking of getting a nose job, but I’m unsure of what to expect. Can you please give me some information about what a nose job entails? Am I too old to get this surgery?
For many years you have wanted to improve the nose; now you have an opportunity to address the issue once and for all. Surgery to reshape the nose (otherwise known as rhinoplasty) is one of the most common of all plastic surgery procedures. It is common among people of all ages, both men and women. Rhinoplasty can be used to reshape the nose in many ways, depending on the patient’s needs and desires. Some of these ways include reducing the size of the nose, changing the shape of the tip or the bridge, narrowing the span of the nostrils, or even changing the angle between your nose and the upper lip. Rhinoplasty can also help relieve some breathing problems.
The best candidates for rhinoplasty are people who are looking to improve their appearance, are physically healthy, psychologically stable, and realistic in their expectations.
Rhinoplasty can be performed under local with IV sedation or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer. Rhinoplasty usually takes an hour or two; however, complicated procedures may take longer. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. You can reduce these risks by carefully following your surgeon's instructions. In the days following surgery, your face may be bruised, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery.
Rhinoplasty can do wonders to enhance your appearance and boost your self-confidence. Your age should not be a problem, as long as you are in good health. When meeting with your plastic surgeon, discuss your expectations and realistic options for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
For many years you have wanted to improve the nose; now you have an opportunity to address the issue once and for all. Surgery to reshape the nose (otherwise known as rhinoplasty) is one of the most common of all plastic surgery procedures. It is common among people of all ages, both men and women. Rhinoplasty can be used to reshape the nose in many ways, depending on the patient’s needs and desires. Some of these ways include reducing the size of the nose, changing the shape of the tip or the bridge, narrowing the span of the nostrils, or even changing the angle between your nose and the upper lip. Rhinoplasty can also help relieve some breathing problems.
The best candidates for rhinoplasty are people who are looking to improve their appearance, are physically healthy, psychologically stable, and realistic in their expectations.
Rhinoplasty can be performed under local with IV sedation or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer. Rhinoplasty usually takes an hour or two; however, complicated procedures may take longer. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. You can reduce these risks by carefully following your surgeon's instructions. In the days following surgery, your face may be bruised, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery.
Rhinoplasty can do wonders to enhance your appearance and boost your self-confidence. Your age should not be a problem, as long as you are in good health. When meeting with your plastic surgeon, discuss your expectations and realistic options for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. Dr. Man has a private practice in Boca Raton, FL. www.drman.com
Saturday, February 27, 2010
Ask Dr. Man – ECO2
Dear Dr. Man, I’m interested in getting rid of deep wrinkles on my face. Part of it is hereditary, but I also am in the sun a lot, as I am an avid tennis player. Is there any new technology out there to fix my problem? I’d prefer a procedure with as little downtime as possible.
As a matter of fact, there is a new treatment that was recently approved by the FDA for skin resurfacing that provides truly dramatic results for deep wrinkles and scars. This procedure is called ECO2 Fractional Laser Resurfacing.
ECO2 is a state-of-the-art, cutting edge fractional laser skin resurfacing system that dramatically improves deep wrinkles, laxity and sun damaged skin using an advanced state-of-the-art process that delivers thousands of micro fractional laser pulses.
ECO2 gives physicians the ability to administer superior treatment with far better results and patient comfort than traditional CO2 laser systems, thus causing less pain and quicker recovery for patients.
The benefits of this treatment include: superior results, a single treatment, minimal downtime (vs. traditional CO2) and less pain.
A full-face treatment takes about an hour, after a topical anesthetic is applied. A special dressing that decreases swelling, pain and irregularities is applied for two to three days.
After the treatment, you will feel a warm sensation, similar to a deep sunburn. Some swelling and redness may be seen immediately following treatment, but this will subside. The treated area will also appear with a thin crust as the rejuvenation process continues and the old sun damaged, dead skin cells slough off.
Most patients will notice significant improvement after just one treatment. Some patients may undergo a second treatment after three months for even more dramatic results.
ECO2 Is recommended for treatment of the following:
- Deep wrinkles on forehead, face, areas around the eyes and lips.
- Acne scars, surgical scars and burn scars
- Photo damaged skin; uneven skin tone and large pores
- Pigmented lesions; freckles, seborrheic keratoses
-Total skin resurfacing of the face, neck, hands and chest
Dear Dr. Man, I’m 22 and I’m very petite and thin. I weigh 102 and I’m 5’4. I’ve always wanted implants and now that I’ve started to work full time, I can afford them. I want to get D cup implants, but my mother thinks I’m crazy; my boyfriend is all for it. How do I know whether to get silicone and saline implants? I feel like there are so many decisions to make- where do I start?
There are many factors to consider when getting breast implants. When you meet with a board-certified plastic surgeon for a consultation, he or she will be able to talk to you about your various options. In the meantime, I will provide you with some basic information to help you understand the process and considerations when choosing to get breast implants.
There are two main factors to consider when it comes to the size of your implants, namely: the size of the breast in proportion to the size of your body and the characteristics of your breast tissue. Every individual differs in these areas. The ideal breast size should balance with your height and weight measurements. The size also largely depends upon how much natural breast tissue you have. For example, a woman with more breast tissue will need her implants filled with fewer cc’s (volume) in order to get the size she desires. All women are different. While a DD cup may be perfect for one woman, it may look too big on another.
Many women believe that an augmented breast will not sag, which is not true. The tendency of the breast to sag is related to the loss of skin elasticity and how thin the tissue is surrounding the breast. If you choose an implant that is too large, it can actually cause the tissue to stretch and, thus, cause more sagging to occur.
With regards to silicone versus saline, there are benefits and tradeoffs for both. Studies have shown both saline and silicone implants to be safe and effective. Before the FDA banned the use of silicone implants in the U.S. about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable and are considered safe. In 2006, the FDA lifted the ban on silicone breast implants.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for. .
The type and size of the implants that are best for you depends upon what you want and what your breast tissue will allow you to have. I encourage you to discuss all of your options with a board-certified plastic surgeon during your pre-operative consultation.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
As a matter of fact, there is a new treatment that was recently approved by the FDA for skin resurfacing that provides truly dramatic results for deep wrinkles and scars. This procedure is called ECO2 Fractional Laser Resurfacing.
ECO2 is a state-of-the-art, cutting edge fractional laser skin resurfacing system that dramatically improves deep wrinkles, laxity and sun damaged skin using an advanced state-of-the-art process that delivers thousands of micro fractional laser pulses.
ECO2 gives physicians the ability to administer superior treatment with far better results and patient comfort than traditional CO2 laser systems, thus causing less pain and quicker recovery for patients.
The benefits of this treatment include: superior results, a single treatment, minimal downtime (vs. traditional CO2) and less pain.
A full-face treatment takes about an hour, after a topical anesthetic is applied. A special dressing that decreases swelling, pain and irregularities is applied for two to three days.
After the treatment, you will feel a warm sensation, similar to a deep sunburn. Some swelling and redness may be seen immediately following treatment, but this will subside. The treated area will also appear with a thin crust as the rejuvenation process continues and the old sun damaged, dead skin cells slough off.
Most patients will notice significant improvement after just one treatment. Some patients may undergo a second treatment after three months for even more dramatic results.
ECO2 Is recommended for treatment of the following:
- Deep wrinkles on forehead, face, areas around the eyes and lips.
- Acne scars, surgical scars and burn scars
- Photo damaged skin; uneven skin tone and large pores
- Pigmented lesions; freckles, seborrheic keratoses
-Total skin resurfacing of the face, neck, hands and chest
Dear Dr. Man, I’m 22 and I’m very petite and thin. I weigh 102 and I’m 5’4. I’ve always wanted implants and now that I’ve started to work full time, I can afford them. I want to get D cup implants, but my mother thinks I’m crazy; my boyfriend is all for it. How do I know whether to get silicone and saline implants? I feel like there are so many decisions to make- where do I start?
There are many factors to consider when getting breast implants. When you meet with a board-certified plastic surgeon for a consultation, he or she will be able to talk to you about your various options. In the meantime, I will provide you with some basic information to help you understand the process and considerations when choosing to get breast implants.
There are two main factors to consider when it comes to the size of your implants, namely: the size of the breast in proportion to the size of your body and the characteristics of your breast tissue. Every individual differs in these areas. The ideal breast size should balance with your height and weight measurements. The size also largely depends upon how much natural breast tissue you have. For example, a woman with more breast tissue will need her implants filled with fewer cc’s (volume) in order to get the size she desires. All women are different. While a DD cup may be perfect for one woman, it may look too big on another.
Many women believe that an augmented breast will not sag, which is not true. The tendency of the breast to sag is related to the loss of skin elasticity and how thin the tissue is surrounding the breast. If you choose an implant that is too large, it can actually cause the tissue to stretch and, thus, cause more sagging to occur.
With regards to silicone versus saline, there are benefits and tradeoffs for both. Studies have shown both saline and silicone implants to be safe and effective. Before the FDA banned the use of silicone implants in the U.S. about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable and are considered safe. In 2006, the FDA lifted the ban on silicone breast implants.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for. .
The type and size of the implants that are best for you depends upon what you want and what your breast tissue will allow you to have. I encourage you to discuss all of your options with a board-certified plastic surgeon during your pre-operative consultation.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Friday, February 26, 2010
Ask Dr. Man – Facial Procedures
Dear Dr. Man, I’m 48 years old, but I have to admit that I think I look older because of my facial features. I know I want plastic surgery, but I have no idea what types of surgery are available besides a facelift. Can you tell me more about my options?
The aging process of the skin varies among individuals. Inevitably, with age, our faces begin to lose the natural collagen and elasticity we are born with. Hormonal changes can also cause loss of moisture and thinning of the skin.
The best care you can give your skin is to protect it from the sun and use proper skin care, preferably a regimen recommended by your doctor. Taking care of your skin is the foundation for preventing the signs of aging, but it is only the beginning. As we age, our skin goes through changes; and even people who follow the strictest skin care regimen eventually show some signs of aging.
Fortunately, there are many treatments and procedures available on the market today. You didn’t mention specifically what signs of aging you have, so let’s talk today about some of the various treatments available to fight the aging process.
The earliest signs of aging generally occur around the eyes and forehead area. Specifically, crow’s feet, frown lines and thinner skin around the eyes are some of the first signs. Non-invasive treatment for these may include Botox™ and/or other filler materials to the affected areas. There are noninvasive resurfacing tools that are now available as well, such as Fraxel Laser, Erbium laser, Portrait Resurfacing, and Medium Peel.
There are also surgical corrections for these conditions, such as the use of suspension lifts to improve contour of portions of the face and neck. These procedures go by many names, such as thread lift, feather lift, barbed suture lift, etc. To help the sagging skin around the eyes, there is a commonly performed procedure known as blepharoplasty, which is used to give the eyes a fresher, less tired look. This usually requires some anesthesia. Check with your surgeon to see if you are a candidate for any of these procedures.
Deeper chemical peels, lasers, and dermabrasion are sometimes recommended for deeper lines and wrinkles. These procedures will most likely call for the use of anesthesia in the form of IV sedation.
New technology is becoming more common and being used more frequently when it comes to skin rejuvenation. Be sure to speak to a board-certified plastic surgeon to determine which procedure is best for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
The aging process of the skin varies among individuals. Inevitably, with age, our faces begin to lose the natural collagen and elasticity we are born with. Hormonal changes can also cause loss of moisture and thinning of the skin.
The best care you can give your skin is to protect it from the sun and use proper skin care, preferably a regimen recommended by your doctor. Taking care of your skin is the foundation for preventing the signs of aging, but it is only the beginning. As we age, our skin goes through changes; and even people who follow the strictest skin care regimen eventually show some signs of aging.
Fortunately, there are many treatments and procedures available on the market today. You didn’t mention specifically what signs of aging you have, so let’s talk today about some of the various treatments available to fight the aging process.
The earliest signs of aging generally occur around the eyes and forehead area. Specifically, crow’s feet, frown lines and thinner skin around the eyes are some of the first signs. Non-invasive treatment for these may include Botox™ and/or other filler materials to the affected areas. There are noninvasive resurfacing tools that are now available as well, such as Fraxel Laser, Erbium laser, Portrait Resurfacing, and Medium Peel.
There are also surgical corrections for these conditions, such as the use of suspension lifts to improve contour of portions of the face and neck. These procedures go by many names, such as thread lift, feather lift, barbed suture lift, etc. To help the sagging skin around the eyes, there is a commonly performed procedure known as blepharoplasty, which is used to give the eyes a fresher, less tired look. This usually requires some anesthesia. Check with your surgeon to see if you are a candidate for any of these procedures.
Deeper chemical peels, lasers, and dermabrasion are sometimes recommended for deeper lines and wrinkles. These procedures will most likely call for the use of anesthesia in the form of IV sedation.
New technology is becoming more common and being used more frequently when it comes to skin rejuvenation. Be sure to speak to a board-certified plastic surgeon to determine which procedure is best for you.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Thursday, February 25, 2010
Ask Dr. Man – Body Jet
Dear Dr. Man, I’ve been wanting to get liposuction for a long time, but am worried about the down time and pain involved. I heard about a new procedure called Body Jet that was recently FDA approved. Can you tell me more about it?
I am happy to tell you more. Body Jet, also referred to as Water-Jet Assisted Liposuction, is a superior method of liposuction and may be performed on multiple areas of the body during the same session of surgery, including abdomen, arms, under chin, thighs, buttocks, back and calves. It significantly reduces discomfort or pain during and after the procedure. Recovery is shorter, as patients often return to work and other activities in just a few days.
The Body Jet system is more accurate than tumescent, as it uses a controlled pressure system and special cannula to direct the water in a thin, fan shaped jet. The result is less tissue swelling, thus less discomfort or pain after the procedure. This is accomplished by means of the special cannula and computerized software that allows control of the rate of fluid input and fat output. Because it is more accurate, fat is removed only from fatty compartments without hurting other important structures like nerves and vessels. Thus, fatty tissues are released much more easily, with less tissue swelling.
The procedure is performed under local sedation. It is easily tolerated, allowing smooth patient re-positioning so that multiple sites can be performed at the same time. Because it is more accurate, patients recover much more quickly, with less swelling, bruising or discomfort.
I would recommend Body Jet for people who wish to get rid of extra inches and loose fatty tissue, especially around the tummy, arms, neck, back, thighs, hips and buttocks. Body builders and athletes who want a better shape can also benefit from Body Jet.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Wednesday, February 24, 2010
Ask Dr. Man- Young Lips
Dear Dr. Man, I’m 21 years old and just graduated college. I’ve always wanted full lips, but instead I have thin and narrow lips. I’m happy with every other part of my body except my lips. I really want to get this fixed. When I told my mom and my boyfriend that I want to get this worked on, they told me that only old people get their lips done. Is this true? Also, what can I do to help make my lips fuller and more appealing?
Full lips have always been sought after, regardless of age. A plump pout is considered to be not only a sign of youth, but an icon of sensuality as well. As we age, the lips do lose their plumpness and fullness; however, some women naturally have thin lips. The upper lip in many women can appear thin; and the distance from the tip of the nose to the upper lip lengthens as the lips drop "down,” which can cause a frown-like appearance around the mouth. A lip lift or lip augmentation can increase the volume and fullness of the lips and give a more attractive contour and natural pout.
Lip augmentation can be useful for people who have small, deflated lips, asymmetry, reconstructive needs, dropping or sagging upper lip, lack of color, wrinkling from smoking or aging and other complaints. Lip augmentation is not done only on aging individuals- I see many young patients who desire more sensual and attractive lips.
Lip augmentation uses synthetic or biological products or surgical restructuring to enhance the lips using several different treatment options. A common procedure that we hear a lot about these days is the use of filler materials to give the soft lip tissue more fullness and support. These materials can be injected or implanted into the skin and can include collagen or fat, or new fillers, such as Restylane, Perlane and Juvederm. For lines around the lips, a filler called Cosmoplast works well. Some people go a step further and have a surgical lip lift, which shortens the area between the nose and upper lip, in order to reduce a frown-like appearance.
These procedures are performed in the doctor's office under local or I.V. sedation. After treatment, people usually experience some swelling and bruising. In the case of incisions, sutures are removed after several days. As with all surgery, there are some risks, which you should discuss with your surgeon.
Talk to your plastic surgeon to decide which treatment is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Full lips have always been sought after, regardless of age. A plump pout is considered to be not only a sign of youth, but an icon of sensuality as well. As we age, the lips do lose their plumpness and fullness; however, some women naturally have thin lips. The upper lip in many women can appear thin; and the distance from the tip of the nose to the upper lip lengthens as the lips drop "down,” which can cause a frown-like appearance around the mouth. A lip lift or lip augmentation can increase the volume and fullness of the lips and give a more attractive contour and natural pout.
Lip augmentation can be useful for people who have small, deflated lips, asymmetry, reconstructive needs, dropping or sagging upper lip, lack of color, wrinkling from smoking or aging and other complaints. Lip augmentation is not done only on aging individuals- I see many young patients who desire more sensual and attractive lips.
Lip augmentation uses synthetic or biological products or surgical restructuring to enhance the lips using several different treatment options. A common procedure that we hear a lot about these days is the use of filler materials to give the soft lip tissue more fullness and support. These materials can be injected or implanted into the skin and can include collagen or fat, or new fillers, such as Restylane, Perlane and Juvederm. For lines around the lips, a filler called Cosmoplast works well. Some people go a step further and have a surgical lip lift, which shortens the area between the nose and upper lip, in order to reduce a frown-like appearance.
These procedures are performed in the doctor's office under local or I.V. sedation. After treatment, people usually experience some swelling and bruising. In the case of incisions, sutures are removed after several days. As with all surgery, there are some risks, which you should discuss with your surgeon.
Talk to your plastic surgeon to decide which treatment is right for you.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Tuesday, February 23, 2010
Ask Dr. Man- Botox Parties
Dear Dr. Man, I’m so psyched. For her 40th birthday party, my friend is having a Botox party and treating us all to Botox injections. I’d love to know more about what to expect. Will it hurt? I have a blind date 2 days later- will the shots cause scarring?
Botox Cosmetic has become an extremely popular means of reducing certain facial wrinkles, especially frown lines of the forehead and crows feet around the eyes. Frown lines are the vertical lines caused by contraction of the muscles of the eyebrows. Injecting Botox next to the muscles of the eyebrows and forehead causes the muscles to relax, smoothing out the vertical lines. Botox has become very popular with both men and women, in order to regain a more youthful appearance.
This party you mention does cause me some concern. Botox Cosmetic has become so popular that some people such as your friend are hosting Botox parties, in which several men and women gather together for cocktails and wrinkle-reducing injections. Be advised that the FDA has issued statements warning of the possible hazards of "Botox parties." A Botox injection is a medical procedure that should be performed in a controlled medical environment. I’m assuming your friend’s party will not be at a doctor’s office, so please beware. According to the FDA, administering this treatment during a cocktail party greatly diminishes the gravity of this medical procedure. There is always a risk of adverse reactions or side effects after a Botox injection; so patients need to be in a medical setting that is equipped to handle an emergency situation. In addition, the ingestion of alcohol at or around the time of injection could worsen any bruising at the injection site.
That being said, Botox is an excellent treatment for wrinkles, as long as it is performed safely in the correct environment and by a qualified medical profession. Botox, a therapeutic muscle relaxer, is a by-product of botulinum toxin A (it is not a toxin itself). It acts directly on the nerves of the muscles, preventing the muscles and nerves from receiving electrical impulses. Botox is applied via injections, using a very fine needle. The procedure is relatively painless and takes only several minutes.
Botox has been used safely for over 20 years and was approved by the U.S. Food and Drug Administration for cosmetic use in April 2002. There are minimal side effects, although some complications, such as allergic reactions or swelling, may occur. Patients who are on antibiotics or other drugs should advise their doctor in advance, as these drugs may act to increase or reduce the potency of the injections. The results of Botox last about four to six months, depending on the patient, and should be repeated as necessary. Every patient is different- some experience swelling, while others have no reaction. If you’re concerned about your date, you may want to either postpone the date or postpone the injections.
As a side note, Botox is also used to treat some other medical conditions. It is used to help decrease hyperhydrosis (excess sweating). Botox can also be effective for severe migraine or cluster headaches that don’t respond to other methods of treatment. Talk to your doctor if you have any of these problems, to see if Botox injections are the right course of treatment for you.
In addition to exercising caution with “Botox parties,” please also beware of places that offer “bargain Botox injections,” as they may dilute the concentration of Botox in each injection, which can make the results of the treatment less effective.
Talk to a board-certified plastic surgeon or dermatologist to see if Botox is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Botox Cosmetic has become an extremely popular means of reducing certain facial wrinkles, especially frown lines of the forehead and crows feet around the eyes. Frown lines are the vertical lines caused by contraction of the muscles of the eyebrows. Injecting Botox next to the muscles of the eyebrows and forehead causes the muscles to relax, smoothing out the vertical lines. Botox has become very popular with both men and women, in order to regain a more youthful appearance.
This party you mention does cause me some concern. Botox Cosmetic has become so popular that some people such as your friend are hosting Botox parties, in which several men and women gather together for cocktails and wrinkle-reducing injections. Be advised that the FDA has issued statements warning of the possible hazards of "Botox parties." A Botox injection is a medical procedure that should be performed in a controlled medical environment. I’m assuming your friend’s party will not be at a doctor’s office, so please beware. According to the FDA, administering this treatment during a cocktail party greatly diminishes the gravity of this medical procedure. There is always a risk of adverse reactions or side effects after a Botox injection; so patients need to be in a medical setting that is equipped to handle an emergency situation. In addition, the ingestion of alcohol at or around the time of injection could worsen any bruising at the injection site.
That being said, Botox is an excellent treatment for wrinkles, as long as it is performed safely in the correct environment and by a qualified medical profession. Botox, a therapeutic muscle relaxer, is a by-product of botulinum toxin A (it is not a toxin itself). It acts directly on the nerves of the muscles, preventing the muscles and nerves from receiving electrical impulses. Botox is applied via injections, using a very fine needle. The procedure is relatively painless and takes only several minutes.
Botox has been used safely for over 20 years and was approved by the U.S. Food and Drug Administration for cosmetic use in April 2002. There are minimal side effects, although some complications, such as allergic reactions or swelling, may occur. Patients who are on antibiotics or other drugs should advise their doctor in advance, as these drugs may act to increase or reduce the potency of the injections. The results of Botox last about four to six months, depending on the patient, and should be repeated as necessary. Every patient is different- some experience swelling, while others have no reaction. If you’re concerned about your date, you may want to either postpone the date or postpone the injections.
As a side note, Botox is also used to treat some other medical conditions. It is used to help decrease hyperhydrosis (excess sweating). Botox can also be effective for severe migraine or cluster headaches that don’t respond to other methods of treatment. Talk to your doctor if you have any of these problems, to see if Botox injections are the right course of treatment for you.
In addition to exercising caution with “Botox parties,” please also beware of places that offer “bargain Botox injections,” as they may dilute the concentration of Botox in each injection, which can make the results of the treatment less effective.
Talk to a board-certified plastic surgeon or dermatologist to see if Botox is right for you.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Monday, February 22, 2010
Ask Dr. Man- Finding a Plastic Surgeon
Dear Dr. Man, I’m visiting my daughter, her husband and my grandkids here in FL for three week. I’m from Minnesota. I’ve finally decided to take the plunge and have plastic surgery (breast lift and something to get rid of my wrinkles). Down here in Florida, there seem to be a lot of plastic surgeons; however, I would like to have my surgery closer to home so that I don’t have to burden my daughter and her family while I recover. How do I find a good, qualified surgeon in Minnesota? I trust you and your reputation, so any advice you have is most appreciated.
When you decide to have cosmetic surgery, the first and most important step you can take is to find a doctor that is right for you, one that can help you reach your goals. So, where should you begin? In my opinion, the phone book and advertisements are not the best resources for information. Instead, I recommend asking friends, family members, and colleagues you respect. Another good source is your family doctor or other medical professionals. Exercise caution if you choose to use the Internet, and make sure any information you get is from a credible source. Be wary of web sites that provide referral services, which are often paid for by the doctor. Better Internet sources are those of professional organizations, such as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
Once you have a list of doctors to choose from, I suggest calling a few offices and getting answers to the following important questions before deciding on a surgeon.
• Is the surgeon board-certified in plastic surgery? Board certified plastic surgeons are full-time plastic surgeons who are certified by the American Board of Plastic Surgery (ABPS), and who have the surgical skills and judgment to perform a wide range of aesthetic and reconstructive procedures on the total body.
• Is the surgeon a member in good standing of the American Society of Plastic Surgeons, Inc. and the American Society for Aesthetic Plastic Surgery (ASAPS)? These organizations represent board-certified plastic surgeons in the U.S. They can provide a list of board-certified plastic surgeons in your area. For more information about the American Society of Plastic Surgeons, call 888-4-plastic or visit www.plasticsurgery.org; and the American Society for Aesthetic Plastic Surgery, call 215-587-9322 or visit www.surgery.org).
• Is the surgical facility fully equipped and accredited to perform outpatient surgery? Does the surgeon have privileges to perform these same procedures in the hospital? Accrediting organizations that can provide you with more information are: the American Association for Accreditation of Ambulatory Surgery Facilities (888-545-5222 or www.aaasf.org); the Joint Commission on Accreditation of Healthcare Organizations (630-792-5800 or www. jaaacaho.org); and the Accreditation Association for Ambulatory Health Care (847-853-6060 or www.aaahc.org).
Another option you have, which would not burden your daughter and her family, is to have your surgery down here in South Florida, and utilize an after-care recovery center. Some doctors like me offer luxury recovery suites that are monitored 24 hours a day by trained nurses and staff. People come from all over the world to have their plastic surgery done here in South Florida and to recover in our “hotel-like” setting. Whatever you decide, I wish you the best of luck.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
When you decide to have cosmetic surgery, the first and most important step you can take is to find a doctor that is right for you, one that can help you reach your goals. So, where should you begin? In my opinion, the phone book and advertisements are not the best resources for information. Instead, I recommend asking friends, family members, and colleagues you respect. Another good source is your family doctor or other medical professionals. Exercise caution if you choose to use the Internet, and make sure any information you get is from a credible source. Be wary of web sites that provide referral services, which are often paid for by the doctor. Better Internet sources are those of professional organizations, such as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
Once you have a list of doctors to choose from, I suggest calling a few offices and getting answers to the following important questions before deciding on a surgeon.
• Is the surgeon board-certified in plastic surgery? Board certified plastic surgeons are full-time plastic surgeons who are certified by the American Board of Plastic Surgery (ABPS), and who have the surgical skills and judgment to perform a wide range of aesthetic and reconstructive procedures on the total body.
• Is the surgeon a member in good standing of the American Society of Plastic Surgeons, Inc. and the American Society for Aesthetic Plastic Surgery (ASAPS)? These organizations represent board-certified plastic surgeons in the U.S. They can provide a list of board-certified plastic surgeons in your area. For more information about the American Society of Plastic Surgeons, call 888-4-plastic or visit www.plasticsurgery.org; and the American Society for Aesthetic Plastic Surgery, call 215-587-9322 or visit www.surgery.org).
• Is the surgical facility fully equipped and accredited to perform outpatient surgery? Does the surgeon have privileges to perform these same procedures in the hospital? Accrediting organizations that can provide you with more information are: the American Association for Accreditation of Ambulatory Surgery Facilities (888-545-5222 or www.aaasf.org); the Joint Commission on Accreditation of Healthcare Organizations (630-792-5800 or www. jaaacaho.org); and the Accreditation Association for Ambulatory Health Care (847-853-6060 or www.aaahc.org).
Another option you have, which would not burden your daughter and her family, is to have your surgery down here in South Florida, and utilize an after-care recovery center. Some doctors like me offer luxury recovery suites that are monitored 24 hours a day by trained nurses and staff. People come from all over the world to have their plastic surgery done here in South Florida and to recover in our “hotel-like” setting. Whatever you decide, I wish you the best of luck.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Sunday, February 21, 2010
Ask Dr. Man- Sedations
Dear Dr. Man, I’m having plastic surgery in one month. Originally I was supposed to get a few minor procedures; however, I’ve decided to also get a nose job and breast implants. For my original surgery, my doctor said he would be using twilight sedation. Now that I’m having additional procedures, he said I need to be put under general anesthesia. Can you please explain the difference between the two types of sedation? I’m quite confused. Thanks.
Many cosmetic procedures are performed under twilight sedation. Twilight anesthesia is local anesthesia with the addition of a sedative, such as Valium, given intravenously to relax you. This type of anesthesia is generally chosen for procedures lasting greater than an hour or for a few minor procedures that are being done at the same time in different body areas. It is also used when areas being treated cannot be well anesthetized using local anesthesia. Intravenous sedatives are generally a good addition to the local anesthesia injections given by the plastic surgeon. The combination helps make patients feel comfortable during the procedure.
With twilight sedation, you will be sedated to the point of being asleep, but you will not be unconscious or intubated. Twilight sedation does not provide pain relief to the area being operated on; so local or regional anesthetics may be used as well. Twilight sedation generally involves a shorter recovery and causes less, if any, nausea or vomiting.
In some cases, if the doctor finds that twilight anesthesia does not allow the surgical procedure to be carried out safely and comfortably, the doctor may switch to a general anesthetic.
A general anesthetic provides complete loss of pain sensation and loss of consciousness. It is often used for longer surgical procedures where a substantial amount of tissue manipulation is required. It is also used if multiple smaller procedures are being performed in different areas of the body.
General anesthesia is administered by injection, gas or a combination of both. This causes you to fall into a deep sleep. Your doctor may also use other medications for pain relief and muscle relaxation. Advances in anesthesia have made general anesthesia safer than ever.
No matter which type of anesthesia your doctor uses, be sure to have someone available to pick you up following your surgery, as you should not operate a vehicle. You’ll want to rest after the surgery to let the anesthesia wear off and to let your body heal from the surgery.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Many cosmetic procedures are performed under twilight sedation. Twilight anesthesia is local anesthesia with the addition of a sedative, such as Valium, given intravenously to relax you. This type of anesthesia is generally chosen for procedures lasting greater than an hour or for a few minor procedures that are being done at the same time in different body areas. It is also used when areas being treated cannot be well anesthetized using local anesthesia. Intravenous sedatives are generally a good addition to the local anesthesia injections given by the plastic surgeon. The combination helps make patients feel comfortable during the procedure.
With twilight sedation, you will be sedated to the point of being asleep, but you will not be unconscious or intubated. Twilight sedation does not provide pain relief to the area being operated on; so local or regional anesthetics may be used as well. Twilight sedation generally involves a shorter recovery and causes less, if any, nausea or vomiting.
In some cases, if the doctor finds that twilight anesthesia does not allow the surgical procedure to be carried out safely and comfortably, the doctor may switch to a general anesthetic.
A general anesthetic provides complete loss of pain sensation and loss of consciousness. It is often used for longer surgical procedures where a substantial amount of tissue manipulation is required. It is also used if multiple smaller procedures are being performed in different areas of the body.
General anesthesia is administered by injection, gas or a combination of both. This causes you to fall into a deep sleep. Your doctor may also use other medications for pain relief and muscle relaxation. Advances in anesthesia have made general anesthesia safer than ever.
No matter which type of anesthesia your doctor uses, be sure to have someone available to pick you up following your surgery, as you should not operate a vehicle. You’ll want to rest after the surgery to let the anesthesia wear off and to let your body heal from the surgery.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Saturday, February 20, 2010
Ask Dr. Man- Implants
Dear Dr. Man, I’m 22 and I’m very petite and thin. I weigh 102 and I’m 5’4. I’ve always wanted implants and now that I’ve started to work full time, I can afford them. I want to get D cup implants, but my mother thinks I’m crazy; my boyfriend is all for it. How do I know whether to get silicone and saline implants? I feel like there are so many decisions to make- where do I start?
There are many factors to consider when getting breast implants. When you meet with a board-certified plastic surgeon for a consultation, he or she will be able to talk to you about your various options. In the meantime, I will provide you with some basic information to help you understand the process and considerations when choosing to get breast implants.
There are two main factors to consider when it comes to the size of your implants, namely: the size of the breast in proportion to the size of your body and the characteristics of your breast tissue. Every individual differs in these areas. The ideal breast size should balance with your height and weight measurements. The size also largely depends upon how much natural breast tissue you have. For example, a woman with more breast tissue will need her implants filled with fewer cc’s (volume) in order to get the size she desires. All women are different. While a DD cup may be perfect for one woman, it may look too big on another.
Many women believe that an augmented breast will not sag, which is not true. The tendency of the breast to sag is related to the loss of skin elasticity and how thin the tissue is surrounding the breast. If you choose an implant that is too large, it can actually cause the tissue to stretch and, thus, cause more sagging to occur.
With regards to silicone versus saline, there are benefits and tradeoffs for both. Studies have shown both saline and silicone implants to be safe and effective. Before the FDA banned the use of silicone implants in the U.S. about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable and are considered safe. In 2006, the FDA lifted the ban on silicone breast implants.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for.
The type and size of the implants that are best for you depends upon what you want and what your breast tissue will allow you to have. I encourage you to discuss all of your options with a board-certified plastic surgeon during your pre-operative consultation.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
There are many factors to consider when getting breast implants. When you meet with a board-certified plastic surgeon for a consultation, he or she will be able to talk to you about your various options. In the meantime, I will provide you with some basic information to help you understand the process and considerations when choosing to get breast implants.
There are two main factors to consider when it comes to the size of your implants, namely: the size of the breast in proportion to the size of your body and the characteristics of your breast tissue. Every individual differs in these areas. The ideal breast size should balance with your height and weight measurements. The size also largely depends upon how much natural breast tissue you have. For example, a woman with more breast tissue will need her implants filled with fewer cc’s (volume) in order to get the size she desires. All women are different. While a DD cup may be perfect for one woman, it may look too big on another.
Many women believe that an augmented breast will not sag, which is not true. The tendency of the breast to sag is related to the loss of skin elasticity and how thin the tissue is surrounding the breast. If you choose an implant that is too large, it can actually cause the tissue to stretch and, thus, cause more sagging to occur.
With regards to silicone versus saline, there are benefits and tradeoffs for both. Studies have shown both saline and silicone implants to be safe and effective. Before the FDA banned the use of silicone implants in the U.S. about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable and are considered safe. In 2006, the FDA lifted the ban on silicone breast implants.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for.
The type and size of the implants that are best for you depends upon what you want and what your breast tissue will allow you to have. I encourage you to discuss all of your options with a board-certified plastic surgeon during your pre-operative consultation.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Friday, February 19, 2010
Ask Dr. Man- Portrait
Dear Dr. Man, My friends are all raving about Portrait. Three of my friends who I play tennis with had Portrait done and they look 10 years younger. I want this done. Please tell me more.
Officially known as Portrait® Plasma Skin Regeneration System (from Rhytec), Portrait reduces and softens the deep lines in the face, proven to deliver true skin regeneration. Results are immediate and long-lasting, with clinical studies showing improvements for as long as a year after treatment. Portrait is FDA-cleared, and is an effective treatment for wrinkles (deep and fine), brown spots, and pigmentations. It also helps improve skin tone and elasticity, in addition to tightening lax and sagging skin. It is approved to treat the face, neck, décolleté, arms and hands.
When most people think of “plasma,” they think of televisions; however, this treatment is very different. Portrait is the first system to employ a highly energized gaseous state known as “plasma” to produce unique controlled thermal energy at and below the skin’s surface. While some treatments lead to improved skin only at the surface, Portrait alters structures below the surface, creating unique conditions for continuing regeneration and improvements in wrinkles, tone, texture and discoloration. It creates a natural response to new skin cell regeneration and collagen growth, similar to a newborn baby’s skin.
Your physician will tailor your treatment depending on your needs and lifestyle. Treatments can vary from one treatment at a higher setting to three treatments at lower settings. Patients are given topical anesthetic cream one hour prior to the treatment; and the treatment itself is usually completed within about 30 minutes. Patients can expect to feel a localized sensation of heat during the treatment.
Following treatment at lower settings, patients can expect to look and feel sunburned for 24 to 48 hours. Within 24 hours after the procedure, they can resume normal activity and wear mineral makeup. Some shedding can occur within the following 3 to 5 days. Following treatment at higher settings, patients can expect to feel a more intense sunburn sensation, with a browning/bronzing to the outer layer of skin. Patients can resume normal activity and wear mineral makeup within 48 to 72 hours. Shedding may occur within the week following treatment. Once shedding has occurred, the redness of the regenerated skin may last up to 2 weeks. This is a much shorter duration compared to CO2 or Erbium Laser treatment.
The benefits of using Portrait can be seen soon after treatment, and patients tend to see progressive improvements over time. Portrait is a safe, non-surgical way to rejuvenate the skin. Combined with Botox and Dermal Fillers, it can provide patients with synergistic benefits that can do wonders for the skin. I believe that Portrait uniquely addresses the growing demand for cosmetic improvement with minimal downtime, and little or no risk of side effects or complications associated with other more aggressive anti-aging treatments.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Officially known as Portrait® Plasma Skin Regeneration System (from Rhytec), Portrait reduces and softens the deep lines in the face, proven to deliver true skin regeneration. Results are immediate and long-lasting, with clinical studies showing improvements for as long as a year after treatment. Portrait is FDA-cleared, and is an effective treatment for wrinkles (deep and fine), brown spots, and pigmentations. It also helps improve skin tone and elasticity, in addition to tightening lax and sagging skin. It is approved to treat the face, neck, décolleté, arms and hands.
When most people think of “plasma,” they think of televisions; however, this treatment is very different. Portrait is the first system to employ a highly energized gaseous state known as “plasma” to produce unique controlled thermal energy at and below the skin’s surface. While some treatments lead to improved skin only at the surface, Portrait alters structures below the surface, creating unique conditions for continuing regeneration and improvements in wrinkles, tone, texture and discoloration. It creates a natural response to new skin cell regeneration and collagen growth, similar to a newborn baby’s skin.
Your physician will tailor your treatment depending on your needs and lifestyle. Treatments can vary from one treatment at a higher setting to three treatments at lower settings. Patients are given topical anesthetic cream one hour prior to the treatment; and the treatment itself is usually completed within about 30 minutes. Patients can expect to feel a localized sensation of heat during the treatment.
Following treatment at lower settings, patients can expect to look and feel sunburned for 24 to 48 hours. Within 24 hours after the procedure, they can resume normal activity and wear mineral makeup. Some shedding can occur within the following 3 to 5 days. Following treatment at higher settings, patients can expect to feel a more intense sunburn sensation, with a browning/bronzing to the outer layer of skin. Patients can resume normal activity and wear mineral makeup within 48 to 72 hours. Shedding may occur within the week following treatment. Once shedding has occurred, the redness of the regenerated skin may last up to 2 weeks. This is a much shorter duration compared to CO2 or Erbium Laser treatment.
The benefits of using Portrait can be seen soon after treatment, and patients tend to see progressive improvements over time. Portrait is a safe, non-surgical way to rejuvenate the skin. Combined with Botox and Dermal Fillers, it can provide patients with synergistic benefits that can do wonders for the skin. I believe that Portrait uniquely addresses the growing demand for cosmetic improvement with minimal downtime, and little or no risk of side effects or complications associated with other more aggressive anti-aging treatments.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Thursday, February 18, 2010
Ask Dr. Man - Thigh Lift
Dear Dr. Man, I’m 36 years old. I’m in very good shape, but I can’t seem to get rid of the flab on the inside of my thighs. How do I fix this? Exercise hasn’t helped- I even hired a personal trainer. Do I get liposuction? Will that help?
The skin along the inner thighs generally has less tone and elasticity than the skin along the flanks or the outer thighs. As a result of aging, weight loss and excessive exposure to the sun, the skin of the inner thighs can become thin, loose or hanging.
Even for people with a thick layer of fat along the inner thigh, liposuction alone will not make the skin tighter. What can be done is a procedure known as a thigh lift, which is usually done in combination with some liposuction. The surgeon generally performs liposuction of the inner thigh area first, in order to loosen the overlying skin. Then, an incision is made along the groin crease where the front of the thigh meets the lower abdomen. The incision continues around the upper inner thigh and ends in the crease below the buttock. The skin and tissue underneath are then pulled upward until the skin is taut, and the excess tissue is then trimmed off. A deep layer of stitches is placed in the strong connective tissue of the thigh. Dissolving stitches are then used to close the skin.
After surgery, you can expect to wear a lower body compression garment around the clock for about two weeks, except when showering. You may feel some generalized discomfort along the thigh area, along with a burning sensation along the stitch line in your groin crease at the top of the thigh. You may find it difficult to bend forward or sit in a chair, as this puts the most tension on the stitches. Standing or reclining flat tends to be the most comfortable position for patients the first few days after surgery. You should avoid strenuous activity for three to four weeks following surgery.
The down sides to an inner thigh lift are prolonged recovery and possible visible scars. I would recommend possibly first attempting liposuction alone with some of the newer methods of fat removal. Visit a board-certified plastic surgeon to see if this or another type of surgery is right for you.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
The skin along the inner thighs generally has less tone and elasticity than the skin along the flanks or the outer thighs. As a result of aging, weight loss and excessive exposure to the sun, the skin of the inner thighs can become thin, loose or hanging.
Even for people with a thick layer of fat along the inner thigh, liposuction alone will not make the skin tighter. What can be done is a procedure known as a thigh lift, which is usually done in combination with some liposuction. The surgeon generally performs liposuction of the inner thigh area first, in order to loosen the overlying skin. Then, an incision is made along the groin crease where the front of the thigh meets the lower abdomen. The incision continues around the upper inner thigh and ends in the crease below the buttock. The skin and tissue underneath are then pulled upward until the skin is taut, and the excess tissue is then trimmed off. A deep layer of stitches is placed in the strong connective tissue of the thigh. Dissolving stitches are then used to close the skin.
After surgery, you can expect to wear a lower body compression garment around the clock for about two weeks, except when showering. You may feel some generalized discomfort along the thigh area, along with a burning sensation along the stitch line in your groin crease at the top of the thigh. You may find it difficult to bend forward or sit in a chair, as this puts the most tension on the stitches. Standing or reclining flat tends to be the most comfortable position for patients the first few days after surgery. You should avoid strenuous activity for three to four weeks following surgery.
The down sides to an inner thigh lift are prolonged recovery and possible visible scars. I would recommend possibly first attempting liposuction alone with some of the newer methods of fat removal. Visit a board-certified plastic surgeon to see if this or another type of surgery is right for you.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
Wednesday, February 17, 2010
Ask Dr. Man- Endoscopic Browlift
Dear Dr. Man, I’m finally going in two weeks to the plastic surgeon and getting an endoscopic browlift and some Botox shots. I’ve had Botox in the past, so I’m not concerned about that. However, I’ve never had a browlift. Can you tell me what to expect and how long I can expect the recovery to be?
As we age, it’s very common to develop droopy eyebrows, hooding over eyes, forehead creases and frown lines. A browlift (a.k.a. “forehead lift") is a procedure that restores a more youthful, refreshed look to the area above the eyes. It can help to reduce deep creases, horizontal lines, and furrows in the forehead, while lifting heavy, droopy eyebrows that can create a hooding effect over the eyes and make a person appear angry, sad or tired. A browlift is a minimally invasive procedure often performed in conjunction with a facelift or eyelid surgery; however, it can be done as a standalone procedure.
An endoscopic brow lift is one of the more commonly used techniques. Instead of one long incision from ear to ear (which the traditional browlift uses), this technique requires approximately three to five one-inch incisions. An endoscope (wand with a small camera on the end) is inserted into one of the incisions in order to see the underlying muscles and tissues. Next, the eyebrows are released and secured in a higher position underneath the skin. The frown lines are also decreased by weakening the muscles that cause them.
Many surgeons prefer the endoscopic technique for a brow lift because the scalp incisions are minimized, there is a lower chance of permanent scalp numbness, and the recovery is generally shorter. This technique is also recommended for people with thinner hair.
To reduce swelling after a browlift, you should keep your head elevated. Bandages are removed in a short time, and stitches are removed within a week. You should be able to shower and shampoo your hair within a few days. Some numbness and tightness of the forehead are common after surgery. Your cheeks and eyes may also bruise and swell, but that should not last too long. Most people are up and about within a few days; however, you should rest for at least the first week after surgery. Avoid rigorous physical activity for a couple of weeks after surgery. Most of the visible signs of surgery should fade within the first few weeks.
The position of your brow can have a major impact on facial expression. An elevated and smooth brow can do wonders for restoring a youthful look and a positive facial expression. I’m sure you’ll be pleased with the results.
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
As we age, it’s very common to develop droopy eyebrows, hooding over eyes, forehead creases and frown lines. A browlift (a.k.a. “forehead lift") is a procedure that restores a more youthful, refreshed look to the area above the eyes. It can help to reduce deep creases, horizontal lines, and furrows in the forehead, while lifting heavy, droopy eyebrows that can create a hooding effect over the eyes and make a person appear angry, sad or tired. A browlift is a minimally invasive procedure often performed in conjunction with a facelift or eyelid surgery; however, it can be done as a standalone procedure.
An endoscopic brow lift is one of the more commonly used techniques. Instead of one long incision from ear to ear (which the traditional browlift uses), this technique requires approximately three to five one-inch incisions. An endoscope (wand with a small camera on the end) is inserted into one of the incisions in order to see the underlying muscles and tissues. Next, the eyebrows are released and secured in a higher position underneath the skin. The frown lines are also decreased by weakening the muscles that cause them.
Many surgeons prefer the endoscopic technique for a brow lift because the scalp incisions are minimized, there is a lower chance of permanent scalp numbness, and the recovery is generally shorter. This technique is also recommended for people with thinner hair.
To reduce swelling after a browlift, you should keep your head elevated. Bandages are removed in a short time, and stitches are removed within a week. You should be able to shower and shampoo your hair within a few days. Some numbness and tightness of the forehead are common after surgery. Your cheeks and eyes may also bruise and swell, but that should not last too long. Most people are up and about within a few days; however, you should rest for at least the first week after surgery. Avoid rigorous physical activity for a couple of weeks after surgery. Most of the visible signs of surgery should fade within the first few weeks.
The position of your brow can have a major impact on facial expression. An elevated and smooth brow can do wonders for restoring a youthful look and a positive facial expression. I’m sure you’ll be pleased with the results.
Email Questions and Comments
Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
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